Bacteria Pattern, Results of Antibiotic Sensitivity Test, and Complications of Deep Neck Abscess Patients in Dr. Soetomo General Hospital

Abstract

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.

A rare case of cervical abscess caused by Parvimonas micra

“…In addition, carbapenems are sometimes chosen because cases with Klebsiella infection have been reported. 2,6 In this patient, both grampositive and gram-negative bacteria were detected in the rapid culture of the pus; therefore, we first treated the patient with carbapenem antibiotics. Since Parvimonas micra was identified as the causative organism on day 6, antibiotic therapy was promptly de-escalated.…”

“…are also common. 1,2 Pus specimens are often collected at the time of incision and drainage, and in some cases, appropriate evaluation of the causative organism is not performed. In recent years, bacterial classification methods have changed in line with technological advances, and appropriate specimen collection and assessment of causative organisms have become imperative in the treatment of infectious diseases.…”

A dangerous cause of airway obstruction: deep neck infection

“…Obtaining cultures before empirical antibiotic treatment is mandatory in DNI patients. The microorganisms isolated in patients with DNI were aerobic and anaerobic pathogens of pharyngeal flora, such as Streptococcus pyogenes, Staphylococcus aureus, Streptococcus viridians, Streptococcus anginosus, Hemophilus influenza, Peptostreptococcus, Fusobacterium species, Provetella species [47]. Therefore, the antibiotic choice for DNI must include agents with spectrum of activity against both aerobic and anaerobic pathogens, including penicillin, amoxicillin/clavulanic acid, ampicillin/sulbactam, clindamycin and metronidazole.…”

Microbe Pattern and Risk Factors of Deep Neck Abscess Patients in Atma Jaya Hospital

“…Abses leher dalam adalah penumpukan pus di ruang leher dalam yang berada di antara fasia leher akibat infeksi leher dalam. 1 Terdapat berbagai jenis abses leher dalam, pada penelitian ini hanya akan membahas abses submandibular, abses peritonsilar, dan angina Ludwig. Sebelum era antibiotik, pada penelitian sebelumnya memperoleh bahwa infeksi leher dalam terbanyak berasal dari infeksi faring.…”