Bacteria Pattern, Results of Antibiotic Sensitivity Test, and Complications of Deep Neck Abscess Patients in Dr. Soetomo General Hospital
Downloads
Introduction: Deep Neck Abscess is the accumulation of pus inside the potential space between the deep neck fasciae. The incidence has decreased dramatically since the antibiotic era. Empirical antibiotics are administered before the sensitivity test results out, so it is important to know the map of bacteria and its resistance.
Methods: This study was conducted retrospectively using medical records of patients with deep neck abscess in Dr. Soetomo General Hospital Surabaya during January 2014-December 2017. Data recorded included gender, age, location, results of bacteria culture examination, antibiotic sensitivity test, and complications that occurred. Data is processed descriptively.
Results: Of the 162 patients, 102 (62.96%) were males, followed by 60 females (37.04%). The 46-60 years old group has the largest percentage (33.95%). Whereas the most common location of abscess was in the submandibular (42.59%). Pus culture test, most bacteria is Klebsiella pneumonia (13.04%). While the sensitivity test shows that meropenem has the highest sensitivity number (73.58). Most complications were sepsis, in 48 patients (29.63%).
Conclusion: Klebsiella pneumonia, Staphylococcus aureus, and Streptococcus anginosus are the most common etiologies in deep neck abscess. Meropenem, cefoperazone-sulbactam, and oxacillin are the most sensitive antibiotics.
Johnson J, Rosen C, Newlands S and Amin M. Deep Neck Infections. In: Aynehchi B, (ed.). Bailey's head and neck surgery–otolaryngology. Philadelphia: Lippincot Williams & Wilkins, 2014, p. 794-813.
Dhingra P. Neck spaces and fasciael planes. Disease of ear, nose and throat. India: Elsevier India, 2017, p. 557-74.
Pardal-Peláez B, Pardal-Refoyo JL, Ochoa-Sangrador C, González-Serrano J, Montero-Martín J and López-Quiles J. Analysis of the prevalence of dental origin of deep neck infections. Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology. 2018; 30: 180-6.
Snow J and Wackym P. Deep head and neck space infections. In: Yellen R, (ed.). Ballenger's otorhinolaryngology head and neck surgery. Lewiston: BC Decker Inc, 2009, p. 783-8.
Motahari SJ, Poormoosa R, Nikkhah M, Bahari M, Shirazy SM and Khavarinejad F. Treatment and prognosis of deep neck infections. Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India. 2015; 67: 134-7.
Imanto M. Evaluasi penatalaksanaan abses leher dalam di departemen THT-KL Rumah Sakit Hasan Sadikin Bandung periode januari 2012-desember 2012. Jurnal Kedokteran Universitas Lampung. 2015; 5: 33-7.
Fagan J and Morkel J. Surgical drainage of neck abscesses: (208, accessed May 29th, 2018).
Flint P, Haughey B, Lund V and Niparko J. Deep neck space infections. In: Oliver E and Gillespie M, (eds.). Cummings otolaryngology head & neck surgery. Philadelphia: Mosby Elsevier, 2010, p. 201-8.
Kim SY, Min C, Lee WH and Choi HG. Tonsillectomy increases the risk of retropharyngeal and parapharyngeal abscesses in adults, but not in children: A national cohort study. PLoS One. 2018; 13: e0193913.
Huang TT, Liu TC, Chen PR, Tseng FY, Yeh TH and Chen YS. Deep neck infection: analysis of 185 cases. Head & neck. 2004; 26: 854-60.
Jawetz. Classification of bacteria. In: Brooks G, Butel J, Morse S, Carrol K and Mietzner T, (eds.). Medical microbiology. New York: Mc Graw Hill, 2013, p. 43-54.
Lee K, Chan Y and Das S. Neck spaces and fasciael planes. In: Gillespie B, (ed.). Essential otolaryngology head and neck surgery. USA: Mc Graw Hill Medical, 2012, p. 557-64.
Boyanova L, Kolarov R, Gergova G, et al. Anaerobic bacteria in 118 patients with deep-space head and neck infections from the University Hospital of Maxillofacial Surgery, Sofia, Bulgaria. Journal of medical microbiology. 2006; 55: 1285-9.
Gleeson M, Browning G, Burha M, Clarke R, Hibbert J and Jones N. Benign neck disase: infections and swellings. In: Clarke P, (ed.). Scott-brown's otorhinolaryngology head & neck surgery. London: Edward Arnold Ltd, 2008, p. 1777-88.
Bigcas J-LM and Jain KS. Management of parapharyngeal and retropharyngeal space infections. Operative Techniques in Otolaryngology-Head and Neck Surgery. 2017; 28: 229-37.
1. The journal allows the author to hold the copyright of the article without restrictions.
2. The journal allows the author(s) to retain publishing rights without restrictions
3. The legal formal aspect of journal publication accessibility refers to Creative Commons Attribution Share-Alike (CC BY-SA).
