需氧微生物在非特异性颈部脓肿中的应用——某三级医院的前瞻性研究

M. Hasan, Mohammad Shaharior Arafat, Mohammad Nazrul Islam, Mohammad Arifuzzaman, Md. Shahriar Islam, Bashudev Kumar Saha
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引用次数: 0

摘要

背景:了解非特异性颈部脓肿的局部感染模式和微生物是有效治疗的必要条件。目的:了解引起非特异性颈部脓肿的细菌分布规律,分析不同经验性抗菌药物的覆盖率。材料与方法:本研究为前瞻性观察型研究,于2016年1月1日至2016年6月30日在达卡达卡医学院附属医院耳鼻喉头颈外科和达卡ICDDR B临床微生物科进行。本研究共纳入100例患者。数据分析采用社会科学计算机程序统计软件包(SPSS)。结果:本研究共纳入100例患者。本研究中42例(42%)为31- 45岁年龄组。男性60例(60%),女性40例(40%)。70例(70%)患者来自贫困家庭,70例(70%)患者来自农村,50例(50%)患者有牙齿感染,40例(40%)患者有吸烟者,35例(35%)患者有糖尿病,所有病例(100%)均表现为吞咽困难和发热。主要并发症为坏死性筋膜炎8例(8%),常见间隙为下颌下间隙(45%),最常见的是链球菌30例(30%)。结论:颈脓肿中最常见的分离菌为链球菌。达卡医学院,2021;(1): 29日31-37
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Aerobic Microorganisms in Nonspecific Neck Abscess - A Prospective Study in A Tertiary Level Hospital
Background: The knowledge of the local pattern of infection and microorganisms in non-specific neck abscess is essential to enable efficacious treatment for it. Objective: To find out the pattern of bacteria responsible for developing non-specific neck abscess and to analyze the coverage rate of different empiric antimicrobial agents. Materials and methods: It is prospective observational type of study carried out into Department of Otolaryngology & Head Neck Surgery, Dhaka Medical College Hospital, Dhaka and Department of Clinical Microbiology, ICDDR,B, Dhaka from1st January,2016 to 30th June, 2016. Total 100(Hundred) patients were included in this study. Data were analyzed using computer based programmed statistical package for social science (SPSS). Results: This study was done among 100 patients. In this study 42 cases (42%) were in the (31- 45) years age group. The male patients were 60 (60%) and female were 40 (40%). Majority of patients 70(70%) came from poor class family with 70 (70%) patients came from rural area, 50 (50%) patients had dental infection, 40(40%) patients were smoker, 35 (35%) patients had diabetes mellitus, all the cases (100%) presented with dysphagia and fever. The major complication was necrotizing fasciitis 8 (8%), common space was sub mandibular space (45%), Streptococcus 30 (30%) was the most common organism. Conclusion: The most frequently isolated organism in neck abscess is Streptococcus. J Dhaka Med Coll. 2021; 29(1): 31-37
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