A study of deep neck spaces infection in present era at tertiary care teaching hospital

Abstract

<p class="abstract"><strong>Background:</strong> Deep neck spaces infection is a common challenging condition for otolaryngologist in day to day practice even after availability of higher antibiotics. It may leads to considerable morbidity and complications. The aim of the study was to find out prevalence, predisposing factors and changing trend of deep neck spaces infection in this broad spectrum antibiotics era.</p><p class="abstract"><strong>Methods:</strong> This prospective study was carried out at P.D.U. Medical College and Hospital, Rajkot. 120 Patients were studied who came with deep neck space infection. </p><p class="abstract"><strong>Results:</strong> In this study majority of patient were in the age group of 41-60 year. Odontogenic and oropharyngeal infectionare the most common etiologies. <em>Staphylococcus aureus, Streptococcus, E. colli, Klebsiella</em> and anaerobes were the microorganisms commonly isolated in pus culture and sensitivity test.</p><p class="abstract"><strong>Conclusions:</strong> In spite of availability of broad spectrum antibiotics in present day deep neck spaces infection is the most commonly noticeable condition in developing countries and may lead to considerable morbidity and complications. Inadequate nutritional status, poor oral hygiene and lack of awareness in dental health are common predisposing factors for deep neck spaces infection.</p>

Association Neutrophil Lymphocyte Ratio and Therapy Respons in Submandibular Abscess with and without Diabetes

“…The spread of infection could occur by continuation, lymphatic or hematogenous. 1,2 Several studies find submandibular abscess is a common form of deep neck abscess with prevalence 37.5% -57.5% among all form. 1,3,4 Meanwhile, at Department of Otorhinolaryngology Dr. Saiful Anwar General Hospital, Malang in 2019, the prevalence of submandibular abscess patient was 56.5% and odontogenic was the only cause.…”

“…1,2 Several studies find submandibular abscess is a common form of deep neck abscess with prevalence 37.5% -57.5% among all form. 1,3,4 Meanwhile, at Department of Otorhinolaryngology Dr. Saiful Anwar General Hospital, Malang in 2019, the prevalence of submandibular abscess patient was 56.5% and odontogenic was the only cause. 5 Deep neck abscess is associated with fatal complication such as upper airway obstruction, cervical necrotizing fasciitis, mediastinitis, sepsis, et cetera which could cause mortality rate almost 50% despite adequate antibiotics and aggressive surgical therapy.…”

“…5 Deep neck abscess is associated with fatal complication such as upper airway obstruction, cervical necrotizing fasciitis, mediastinitis, sepsis, et cetera which could cause mortality rate almost 50% despite adequate antibiotics and aggressive surgical therapy. 1,6 Diabetes mellitus (DM) is defined as a group of metabolic disorders characterized by the main symptoms of hyperglycemia caused by abnormalities in insulin secretion and/or insulin resistance. DM is a chronic and complex disease that requires long term medical care with multifactorial risk reduction strategy addition to blood glucose control.…”