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Medline ® Abstract for Reference 20

of 'Pseudomonas aeruginosa infections of the eye, ear, urinary tract, gastrointestinal tract, and central nervous system'

Piercing associated perichondritis of the pinna: are we treating it correctly?
Liu ZW, Chokkalingam P
J Laryngol Otol. 2013 May;127(5):505-8. Epub 2013 Feb 26.
OBJECTIVE: This paper reports a series of patients with sporadic pinna perichondritis who presented to a district general hospital over a period of 10 years. The data examined included the causative organism, risk factors and pattern of antibiotic use.
METHOD: A retrospective analysis of diagnosed cases of pinna perichondritis from 2001 to 2012 was performed. A literature review of pinna perichondritis was carried out using Pubmed with the key words 'pinna perichondritis', 'pinna abscess', 'pinna infection' and 'piercing'.
RESULTS: Pinna perichondritis was more likely to result from chondral than lobe piercings. The majority of cases were caused by Pseudomonas aeruginosa.
CONCLUSION: Most patients were not prescribed anti-pseudomonal antibiotics on presentation. This may result in persistent infection and long-term cosmetic defects.
Department of Otolaryngology, Head and Neck Surgery, Colchester General Hospital, UK. zwl20cam@gmail.com