BACTERIOLOGICAL STUDY OF DEEP NECK SPACE ABSCESS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 73
Abstract
BACKGROUND The complexity of the deep location of these neck spaces make diagnosis and treatment of the infections difficult. Deep neck space infections affect fascial compartments of the head and neck and their contents. Compared with infections elsewhere in the body, deep neck infections pose complicated problems due to numerous portals of entry of infection and proximity to vital structures. The objective of the study is to study the bacteriology, antibiotic sensitivity and management options of deep neck space infections. MATERIALS AND METHODS 50 cases of deep neck infections admitted in Academy of Medical Sciences, Pariyaram, Kannur, India between February 2014 and August 2015 with deep neck space infections were included in the study. Pus was sent for culture and sensitivity analysis. Microbiological assessments were analysed. RESULTS The most common organism isolated was Staphylococcus aureus (24%) followed by Beta haemolytic streptococci (16%). Most of the organisms isolated were sensitive to cephalosporins, gentamicin and ciprofloxacin; 2 isolates among Staphylococci (16.6%) were Methicillin resistant (MRSA). MRSA should be considered as a potential pathogen in deep neck space abscesses. The main morbidity was airway obstruction in 2 (4%) patients and required tracheostomy. CONCLUSION There is an increase in the isolation of methicillin resistant staphylococcus aureus (MRSA) in cases of deep neck infections. Empirical antibiotic treatments must cover gram positive, gram negative and anaerobic pathogens. Early surgical intervention can reduce the complications.
Authors and Affiliations
Sheila Raman Kutty, Balakrishnan Balakrishnan, Rajan Cayyappilly, Swathy Jaya Chandran
Keywords
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- EP ID EP265853
- DOI 10.14260/Jemds/2017/1142
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