A Clinical Analysis of Infections of Deep Neck Space With Respect To Bacteriology and Antibiotic Sensitivity

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A Clinical Analysis of Infections of Deep Neck Space With Respect To Bacteriology and Antibiotic Sensitivity

Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 2

Abstract

Deep neck space infection refers to an infection in the potential spaces and fascial planes of the neck, either with abscess formation or cellulitis. This is a prospective study of 40 patients diagnosed and undergoing treatment for deep neck space infections in the Department of ENT, Gauhati Medical College and Hospital for a period of 6 months from 1st May 2018 to 31st Oct 2018.The aim was to study the prevalence, clinical features and associated risk factors of the deep neck space infections and the management and outcome on the basis of microbiology and culture sensitivity reports. In this study, the most frequent etiologies were bacterial tonsillitis (31.68%) and odontogenic infections (23.7%). The most common cervical areas affected were the peritonsillar (26.7%), submandibular (22.7%) and parapharyngeal spaces (18.8%). The main organism isolated was Staphylococcus spp.(20%) and no growth seen in 35% of cases. Klebsiella spp. was commonly seen in cases presenting with Type II Diabetes Mellitus(70%). 33(82.5%) cases were sensitive to Amoxycillin with Clavulanic acid. Most cases responded to 3rd Gen. Cephalosporins 35(87.5%), Piperacillin with tazobactam 38(95%), Ciprofloxacin 36(90%), Amikacin 36(90%), Meropenem 38(95%), Cotrimoxazole36(90%), Colistin 36(90%) and Tigecycline 36(90%). With broad spectrum antibiotics, majority of infections were successfully treated, but a need for further study on antibiotic resistance is to be stressed upon.

Authors and Affiliations

Dr. Jahnavi Devi

Keywords

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EP ID EP467280
DOI 10.9790/0853-1802074954.
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