Deep-neck Infection: Clinical Analysis of 299 Cases

Noda, Kenji; Kodama, Satoru; Watanabe, Tetsuo; Suzuki, Masashi

doi:10.3950/jibiinkoka.113.898

Cited by 16 publications

(6 citation statements)

References 9 publications

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“…We did not find any systemic disease in control group, but 2 patients had a systemic disease in DNSI group (one tuberculosis, one diabetes mellitus). Noda et al (2010) has reported Smoker prevalence was higher in peritonsillar abscess and deepneck abscess group than in normal healthy subjects (Noda et al, 2010). In our study smoker subjects were higher DNSI than healthy group.…”

Section: Discussionsupporting

confidence: 52%

The relationship between high incidence of deep neck infection and toothbrushing frequency

Bakır¹,

Ahmet²,

Halis³

et al. 2012

Afr. J. Microbiol. Res.

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This study aimed to investigate and compare the frequency of toothbrushing and dental health status between Deep neck space infection (DNSI) patients with dental origin and healthy population. 64 participants were included in this study in the form of two groups. The first group consisted of 34 DNSI patients with dental onset, and the second group consisted of 30 participants (control group). Study was carried out in two separate categories: the frequency of toothbrushing and assessment of dental health status. Toothbrushing frequency was evaluated with a questionnaire. Dental health status was assessed for periodontal and dental disease by periodontist according to the some widely used indicators; DMFT scores, Plaque Index score, Gingival Index score and Sulcus Bleeding Index score. Present study showed that the majority had brushed their teeth occasionally. In DNSI group, the percentage of never toothbrushing was very high and regular toothbrushing rate was so low. DNI group has higher scores than the control group and this indicates poor oral hygiene. Our results showed that, oral health was impaired and regular toothbrushing seems to have been neglected in DNSI group. In our opinion, this negligence is a very important contributory factor towards the more occurrence of deep neck abscess.

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Section: Discussionsupporting

confidence: 52%

The relationship between high incidence of deep neck infection and toothbrushing frequency

Bakır¹,

Ahmet²,

Halis³

et al. 2012

Afr. J. Microbiol. Res.

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“…Speci cally, the prevalence of patients with obesity (BMI ≥ 30 kg/m 2 ) was 4-5% in all groups, and it was not a risk factor for either mortality or delay in oral dietary intake. Although the relationship between the severity of DNIs and obesity has yet to be determined, a previous report showed that obesity (BMI ≥ 30 kg/m 2 ) was correlated with longer hospitalization (27). The DPC database has missing data for evaluating BMI in 7% (337/4949) of cases.…”

Section: Discussionmentioning

confidence: 99%

“…Although the relationship between the severity of DNIs and obesity has yet to be determined, a previous report showed that obesity (BMI ≥30 kg/m 2 ) was correlated with longer hospitalization. 27 The DPC database has missing data for evaluating BMI in 7% (337/4949) of cases. In the DPC data, the codes corresponding to each surgery, clinical procedure, and medication are almost complete because they are compulsory items for reimbursement of health care costs defined in a central system in Japan to check the adequacy of the data (All-Japan Federation of the National Health Insurance Organization).…”

Section: Discussionmentioning

confidence: 99%

Identification of risk factors for mortality and delayed oral dietary intake in patients with open drainage due to deep neck infections: Nationwide study using a Japanese inpatient database

et al. 2021

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Backgrounds: Data on risk factors for deep neck infection (DNI) including descending necrotizing mediastinitis (DNM) have been limited. Using a nationwide database, the aim was to identify the factors related to patient death and delay in recovering oral intake. Methods: We retrospective reviewed a Japanese inpatient database between 2012 and 2017, and data of 4,949 patients with DNM and DNI were extracted. The main outcome was survival at discharge. In a subgroup analysis of the 4,791 patients with survival at discharge, the second outcome was delay in the interval between admission and full recovery of oral intake. In both of the setting, logistic regression analyses were conducted to determine the risk factors. Results: Regarding survival at discharge, logistic regression analysis showed that age (≥75 years), comorbid diabetes mellitus, sepsis, receiving mechanical ventilation, and duration of empirical antibiotic therapy were signi cantly associated with mortality [adjusted-odds ratios (ORs) (95% con dence intervals (CIs)] as follows: 5.57 (2.80-11.1), 2.47 (1.69-3.62), 3.32 (2.29-4.82), 3.96 (2.51-6.23), and 1.00 (1.00-1.02), respectively. In a subgroup analysis of the 4,791 patients with survival at discharge, logistic regression analysis showed the following factors to be signi cantly associated with delayed oral dietary intake (>9 days), as follows [adjusted OR (95% CIs)]: age ≥75 years 1.89 (1.48-2.41); body mass index (

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“…Higher levels of CRP and WBC on first admission to hospital were found to be related with longer staying times in hospital, which was not statistically significant. Similarly, in a retrospective study of 299 patients, Noda et al [8] reported a significant relation between CRP levels and longer hospitalization durations.…”

Section: Discussionmentioning

confidence: 85%

Seven years of experience in 160 patients with deep neck infection

Koç¹

2016

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Bu çalışmada derin boyun enfeksiyonu (DBE) tanısı konmuş çocuk ve yetişkin hastalar klinik özellikler, etyoloji, enfeksiyon veya apsenin yerleşimi, tedavi, prognoz ve demografik özellikler açısından değerlendirildi. Hastalar ve Yöntemler: Bu retrospektif çalışmaya 160 DBE hastası (96 erkek, 64 kadın; ort. yaş 28.2 yıl; dağılım 1-78 yıl) dahil edildi. Etyolojik faktörler, mevsimsel üstünlük, şikayetler, sigara ve alkol kullanımı gibi alışkanlıklar, önceki antibiyotik kullanımları, radyolojik ve laboratuvar bulguları, patolojinin yerleşimi, kültür sonuçları, tedavi yöntemleri, komplikasyonlar, hastalık ve hastanede kalış süreleri incelendi. Bulgular: En sık gözlenen etyolojik faktör diş enfeksiyonuydu. Elli hasta klinik olarak boğaz ağrısı ile başvurdu. Derin boyun enfeksiyonları farklı alanlarda yerleşimliydi ve en yaygın yerleşim yerleri sırasıyla peritonsiller, parafarengeal ve submandibüler alanlardı. Hastaların yaklaşık %50'si tek başına ampirik ampisilin sulbaktam tedavisine yanıt verdi. Ludwig anjinalı bir hasta dekompanse kalp yetmezliğinden kaybedildi. Sonuç: Yüksek morbidite ve mortalite oranları nedeniyle klinisyenlerin DBE'nin ayırıcı tanısı ve tedavisi hakkında bilgilendirilmesi büyük önem arz etmektedir. Anahtar sözcükler: Antibiyoterapi; derin boyun enfeksiyonu; insizyon ve drenaj; Ludwig anjinası; peritonsiller apse; retrofarengeal apse; submandibüler apse. ABSTR ACT Objectives: This study aims to evaluate pediatric and adult patients diagnosed with deep neck infection (DNI) in terms of clinical features, etiology, infection or abscess localization, treatment, prognosis, and demographics. Patients and Methods: This retrospective study included 160 DNI patients (96 males, 64 females; mean age 28.2 years; range 1 to 78 years). Etiological factors, seasonal superiority, complaints, habits such as smoking and alcohol consumption, previous antibiotic usage, radiological and laboratory findings, location of the pathology, culture results, modalities of treatment, complications, and durations of disease and hospital stay were analyzed. Results: Most frequently observed etiological factor was dental infection. Fifty patients clinically presented with sore throat. Deep neck infections were located in various areas, the most common locations being the peritonsillar, parapharyngeal, and submandibular areas, respectively. Approximately 50% of the patients responded to only empirical ampicillin-sulbactam treatment. One patient with Ludwig's angina died due to decompensated heart failure. Conclusion: Due to its high mortality and morbidity rates, it is of utmost importance for physicians to be informed regarding the differential diagnosis and treatment of DNI.

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Deep-neck Infection: Clinical Analysis of 299 Cases

Cited by 16 publications

References 9 publications

The relationship between high incidence of deep neck infection and toothbrushing frequency

The relationship between high incidence of deep neck infection and toothbrushing frequency

Identification of risk factors for mortality and delayed oral dietary intake in patients with open drainage due to deep neck infections: Nationwide study using a Japanese inpatient database

Seven years of experience in 160 patients with deep neck infection

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