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Deep Neck Infection in Faculty of Medicine Vajira Hospital, Navamindradhiraj University |
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| รหัสดีโอไอ | |
| Creator | 1. Pimwichaya Suesongtham 2. Supoj Charoensombatamorn 3. Girapong Ungkhara |
| Title | Deep Neck Infection in Faculty of Medicine Vajira Hospital, Navamindradhiraj University |
| Publisher | Text and Journal Publication |
| Publication Year | 2561 |
| Journal Title | Vajira Medical Journal |
| Journal Vol. | 62 |
| Journal No. | 5 |
| Keyword | Deep neck infection, diabetes mellitus, odontogenic infection, Klebsiella pneumonia |
| URL Website | https://tci-thaijo.org/index.php/VMED |
| Website title | Vajira Medical Journal (วชิรเวชสาร) |
| ISSN | 0125-1252 |
| Abstract | Abstract Objective: To study demographic characteristics, site of infection, bacteriology, etiology, length of hospital stay, treatment and complication of deep neck infection in Faculty of Medicine Vajira Hospital, Navamindradhiraj University. This was a retrospective descriptive study in patients with deep neck infection in Faculty of Medicine Vajira Hospital, Navamindradhiraj University during 2009-2016. Methods: Review recorded data form inpatient record of 131 patients including demographic characteristics, site of infection, bacteriology, etiology, length of hospital stay, treatment and complication. The data were analyzed by descriptive statics while Chi-square and Independent t-tests were used to compare relationship between DM and non-DM group Result: The 131 patients were included; 51.1% were male. Average age was 47.7 ? 19.7 years old. The most common range of age was 41-50 years old. The most common sites of infection were submandibular space (34.4%), then parotid space (11.5%). There were 10 patients (7.6%) who had more than 1 space infection. The most common cause of infection was odontogenic infection (62.6%). Common pathogens were Streptococcus viridans (12.2%) but in DM group common pathogens were Klebsiella pneumonia (29.5%). Average length of hospital stay was 7.8 ? 4.7 days. Average length of hospital stay in DM group was longer (9.3 ? 5.4) when compared with non-DM group (7.0 ? 4.0). The 77patients (58.8%) were undergo open surgical drainage. There were 11 patients who need intubation or tracheostomy (8.4%). Complication rate was about 20.6%. Most common complication were upper airway obstruction (6.9%) then sepsis (3.8%). In DM group, there were 11.4% who had more than 1 complications but in non-DM group there were only 1.1%. Conclusion: Most common cause of deep neck infection in Faculty of Medicine Vajira Hospital, Navamindradhiraj University was odontogenic infection, where submandibular space was the most common site of infection. Generally, Streptococcus viridans was the most common pathogen but there was strongly correlation of Klebsiella pneumonia infection in DM group. From the study show that patients in DM group tend to have more severe clinical course in aspect of length of hospital stay, intubation or tracheostomy and complication. Early diagnosis and treatment were very important in order to reduce risk of complication. |
