Complications and Management of Neck Space Infection

IF 0.1 Q4 OTORHINOLARYNGOLOGY

Bangladesh Journal of Otorhinolaryngology Pub Date : 2022-07-20 DOI:10.3329/bjo.v28i1.60825

M. Mannan, Mohammad Arifuzzaman, Affa Khan, S. Hossain, Saad Sultan, Abdullah Al Mamun

{"title":"Complications and Management of Neck Space Infection","authors":"M. Mannan, Mohammad Arifuzzaman, Affa Khan, S. Hossain, Saad Sultan, Abdullah Al Mamun","doi":"10.3329/bjo.v28i1.60825","DOIUrl":null,"url":null,"abstract":"Background: Neck Space Infections are serious and common diseases that involve several spaces in the neck. Deep neck space infections can be life threatening in diabetic, immunocompromised and elderly patients and special attention should therefore be given to these groups. \nObjectives: This study was conducted to assess complications of deep neck space infections and its management, etiology, risk factors, presentation, spaces affected and complications among patients admitted in Department of ENT and Head- Neck Surgery in Dhaka Medical College & Hospital. \nMethods: This was a Cross Sectional Study conducted in the ENT and Head- Neck Surgery Department, Dhaka Medical College & Hospital from January 2016 to June 2016. A total of 150 patients were included who fulfill the selection criteria. Purposive sampling was used to collect data. Statistical analysis was done by SPSS version 21. \nResults: More than half of the patients (53.30%) came from middle class. Diabetes Mellitus was the most common risk factor (74.5%). Almost all patients presented with neck pain followed by neck swelling, dysphagia, fever and trismus. Organism isolated from drainage fluid was polymicrobial. Streptococcus (51.34%) and staphylococcus (18.60%) were most common organisms isolated. Airway was secured first and then high doses of antibiotics, immediate surgical drainage under local anesthesia were done in 130 (86%) patients. Commonly used antibiotics were ceftriaxone 132(82%), Metronidazole 113(75%) and flucloxacillin 98(65%). Complications were recorded in 55 patients. Most common was airway complication 40(73%). Tracheostomy was done in 17(11.33%) patients. Mortality occurred in 17(11.33%) patients. \nConclusion: Early diagnosis and management is essential to prevent complications. Odontogenic infections, poor oral hygiene, lack of nutrition, smoking and tobacco chewing, DM were associated with neck space infection and we can prevent & control those factors. \nBangladesh J Otorhinolaryngol 2022; 28(1): 56-61","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1000,"publicationDate":"2022-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Bangladesh Journal of Otorhinolaryngology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3329/bjo.v28i1.60825","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Neck Space Infections are serious and common diseases that involve several spaces in the neck. Deep neck space infections can be life threatening in diabetic, immunocompromised and elderly patients and special attention should therefore be given to these groups. Objectives: This study was conducted to assess complications of deep neck space infections and its management, etiology, risk factors, presentation, spaces affected and complications among patients admitted in Department of ENT and Head- Neck Surgery in Dhaka Medical College & Hospital. Methods: This was a Cross Sectional Study conducted in the ENT and Head- Neck Surgery Department, Dhaka Medical College & Hospital from January 2016 to June 2016. A total of 150 patients were included who fulfill the selection criteria. Purposive sampling was used to collect data. Statistical analysis was done by SPSS version 21. Results: More than half of the patients (53.30%) came from middle class. Diabetes Mellitus was the most common risk factor (74.5%). Almost all patients presented with neck pain followed by neck swelling, dysphagia, fever and trismus. Organism isolated from drainage fluid was polymicrobial. Streptococcus (51.34%) and staphylococcus (18.60%) were most common organisms isolated. Airway was secured first and then high doses of antibiotics, immediate surgical drainage under local anesthesia were done in 130 (86%) patients. Commonly used antibiotics were ceftriaxone 132(82%), Metronidazole 113(75%) and flucloxacillin 98(65%). Complications were recorded in 55 patients. Most common was airway complication 40(73%). Tracheostomy was done in 17(11.33%) patients. Mortality occurred in 17(11.33%) patients. Conclusion: Early diagnosis and management is essential to prevent complications. Odontogenic infections, poor oral hygiene, lack of nutrition, smoking and tobacco chewing, DM were associated with neck space infection and we can prevent & control those factors. Bangladesh J Otorhinolaryngol 2022; 28(1): 56-61

查看原文本刊更多论文

颈部间隙感染的并发症及处理

背景:颈部间隙感染是一种累及颈部多个间隙的严重而常见的疾病。深颈间隙感染可危及糖尿病、免疫功能低下和老年患者的生命，因此应给予这些群体特别关注。目的:研究达卡医学院及医院耳鼻喉科及头颈外科患者深颈间隙感染的并发症及其处理、病因、危险因素、表现、受影响的间隙及并发症。方法:本研究于2016年1月至2016年6月在达卡医学院医院耳鼻喉科和头颈外科进行横断面研究。总共纳入了150例符合选择标准的患者。采用有目的抽样方法收集资料。采用SPSS 21进行统计分析。结果:半数以上的患者(53.30%)来自中产阶级。糖尿病是最常见的危险因素(74.5%)。几乎所有患者均以颈部疼痛为主，其次为颈部肿胀、吞咽困难、发热和咬牙。从引流液中分离出的微生物为多微生物。其中，最常见的是链球菌(51.34%)和葡萄球菌(18.60%)。在130例(86%)患者中，首先对气道进行固定，然后在局麻下进行大剂量抗生素和立即手术引流。常用抗生素为头孢曲松132(82%)、甲硝唑113(75%)和氟氯西林98(65%)。55例患者出现并发症。最常见的是气道并发症40(73%)。气管切开术17例(11.33%)。死亡17例(11.33%)。结论:早期诊断和处理是预防并发症的关键。牙源性感染、口腔卫生不良、营养不良、吸烟和咀嚼烟草、糖尿病与颈间隙感染相关，可预防和控制这些因素。孟加拉国[J] otorhinolyngol 2022;28 (1): 56 - 61

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Bangladesh Journal of Otorhinolaryngology OTORHINOLARYNGOLOGY-

自引率

0.00%

发文量

文献相关原料

公司名称	产品信息	采购帮参考价格