Although retropharyngeal abscess is not a common condition, it can impact the quality of life of the affected patients, and can even be life-threatening. Asphyxia, upper respiratory tract obstruction, and respiratory distress might then develop secondary to this abscess which continues to grow even larger increasing the seriousness of the complications. Surgical incisions and long-course medical and antibiotic therapies have been described in the literature for the management of retropharyngeal abscess. In this study, the literature review discusses the surgical and medical treatment of retropharyngeal abscesses and the predicted prognosis of the disease after treatment based on evidence obtained from studies in the literature. Early presentation and management are important in achieving better outcomes and enhancing the prognosis. Therefore, patients should be aware enough of the symptoms that might suggest the presence of a retropharyngeal abscess. Using intravenous antibiotics can achieve favorable outcomes. However, some adverse events might be associated and the treatment might not be completed as a result of reduced patient compliance. Surgical management is also efficacious and can be done by different approaches as discussed earlier. Nevertheless, it can also be associated with some complications. Therefore, providing optimal care for these patients should be considered in all scenarios to enhance the prognosis.
Frontline worker’s prevalence of occupational skin disease has increased as a result of staff infection control measures such increased personal protective equipment (PPE) and stricter hand hygiene procedures. During the COVID-19 pandemic, assess the frequency of occupational skin disorders among healthcare workers at the general hospitals in the Najran region of southern Saudi Arabia is our main aim. Our objective comprises a cross-sectional study that will be carried out at the general hospitals in the Najran region of southern Saudi Arabia between March 1 and April 31, 2022, in order to achieve the goal. All medical professionals received a self-administered online survey (physicians, nurses and paramedics). The questionnaire asked about the severity of skin damage and the frequency and length of time that various infection prevention strategies were used. It was found that 68.2% had new onset of obvious skin damage and 31.8 % did not. 21.6% of the new onset of obvious skin damage was on the fingertips, 46.6% was on the hands, 22.4% was in paws, 3.4% was on the face and 6.0% was under the eye. 29.8% of the symptoms of the damaged site was itching, 44.7% dryness, 12.8% burning/pain, and 12.8% tenderness. 16.5 % of the type of skin lesions was peeling, 28.2% fissure, 18.8% erosion/ulcer, 24.7% redness, 4.7% papule (pimples) and 7.1% others. In our study, 68.2% of our participants suffered obvious skin damage during the pandemic: 90.6% of this occurred on the hands and 9.4% on the face. Contact dermatitis in the form of itching, dryness, burning, pain and tenderness were the most common adverse effects noted. Therefore, it is important to organize training on the prevention and management of possible skin lesions due to PPE use according to guidelines.
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