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To identify predictors of intraorbital abscess in children, researchers retrospectively reviewed the charts of 918 patients (median age, 3.8 years) who presented to an urban pediatric emergency department with suspected preseptal cellulitis, orbital cellulitis, or intraorbital abscess from 1995 to 2008. Of 298 patients who underwent computed tomography (CT), 111 (12%; median age, 7.3 years) had abscesses.
In multivariate analysis, predictors of abscess were absolute neutrophil count (ANC) ≥10,000 cells/µL (adjusted odds ratio [AOR], 8.6); proptosis, limitation, or pain with extraocular movements (EOM; AOR, 6.6); absence of infectious conjunctivitis (AOR, 5.9); edema beyond the eyelid (AOR, 3.6); previous antibiotic therapy (AOR, 3.4); and ag…