Diagnosis and Management of Deeper Neck Infections - A Review

Alias, Kumaran

doi:10.9790/0853-0953641

Cited by 2 publications

(2 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These conditions are dreadful, so the management needs to be more comprehensive, and it must be taking more time than usual. [1][2][3][4][5] The diagnosis and management of DNA is a difficult challenge in otolaryngology because of its complexity and depth of involvement of the abscess site, the incidence of multibacterial infection, and the compatibility of antibiotics given with the results of bacterial cultures in DNA. Changes in the pattern of bacteria and resistance to antibiotics have contributed to an increase in the incidence of DNA.…”

Section: Introductionmentioning

confidence: 99%

The effect of appropriate antibiotic use on the length of hospital stay in deep neck abscess (DNA) patients

Palupi¹,

Wulandari

Trihandoko

2023

JMedScie

View full text Add to dashboard Cite

Deep neck abscess (DNA) is an emergency in the otorhinolaryngology head and neck surgery field due to the formation of abscesses in the potential space between the deep neck fasciae. It is typically caused by the expansion of infection from various sources, including the teeth, mouth, throat, paranasal sinuses, middle ear, and neck. The increase of DNA cases needs for improvement of patient management especially when the patients have comorbidities which lead to an extended length of treatment. The study aimed to evaluate the appropriateness of empirical antibiotics given according to culture results and any comorbid factors that affect the length of hospital stay (LOHS). It was case-control observational study involving 44 cases of DNA patients who treated at Dr. Sardjito General Hospital Yogyakarta in the period of January 2018 to December 2020. The patients were divided into two groups with 22 patients in each group. The first group was the DNA patients with > 7 d LOHS and the second one was those with ≤ 7 d. No significantly relationship was observed between variables evaluated included the appropriate antibiotic use (p=0.546). However, dental caries (DC) was significantly related with the LOHS (p=0.015). In conclusion, there is no relationship between the appropriate antibiotic use and the LOHS. However, the DC is risk factor that influence the LOHS in patients with DNA.

show abstract

Section: Introductionmentioning

confidence: 99%

The effect of appropriate antibiotic use on the length of hospital stay in deep neck abscess (DNA) patients

Palupi¹,

Wulandari

Trihandoko

2023

JMedScie

View full text Add to dashboard Cite

show abstract

“…It can be a greater cause of disability and death in patients. 5,6 Literally, DNA can be defined as a collection of pus in the potential space between the deep cervical fascias induced by the spread of infection to the teeth, mouth, throat, paranasal sinuses, ears, neck, and other surrounding structures. Apart from being an abscess, infection in these organs can also manifest in the form of cellulitis or necrotizing fasciitis.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of clinical pathway implementation and clinical practice guidelines in the management of deep neck abscess (DNA) at Dr. Sardjito, General Hospital Yogyakarta, Indonesia

2022

View full text Add to dashboard Cite

Deep neck abscess (DNA) is an infectious condition categorized as anemergency case with high mortality and morbidity. The incidence decreasesover time due to extensive use of antibiotics, operative intervention, andimproved awareness of dental hygiene. Management of DNA must be carriedout appropriately and efficiently to prevent complications that may occur,such as jugular vein thrombosis, pericarditis, and pneumonia. Patients withDNA are often categorized as high-cost patients, because of the long durationof hospitalization, the need for special examinations, and complicatedmanagement. Clinical practice guidelines (CPG) and clinical pathways (CP)are a standard created for management, quality, and cost control. The studyaimed to evaluate the implementation of the CPG and CP in DNA patients atDr. Sardjito General Hospital, Yogyakarta. The study used medical recordsdata of DNA patients from January 2018 to December 2020 who met theinclusion and exclusion criteria. A total of 55 subjects were obtained, withcompliance to complete CPG filling of 98.3% and CP filling of 96.2%. There was100% completion in CPG filling categorized as good compliance, whilst thenumber of good compliances for CP was 92.7%. In conclusion, the diagnosisand management of DNA patients at Dr. Sardjito General Hospital has goodcompliance with CPG and CP available.

show abstract

Diagnosis and Management of Deeper Neck Infections - A Review

Abstract: Deeper Neck Infections (DNI) of odontogenic origin are more common in adults than in children.

Cited by 2 publications

References 19 publications

The effect of appropriate antibiotic use on the length of hospital stay in deep neck abscess (DNA) patients

The effect of appropriate antibiotic use on the length of hospital stay in deep neck abscess (DNA) patients

Evaluation of clinical pathway implementation and clinical practice guidelines in the management of deep neck abscess (DNA) at Dr. Sardjito, General Hospital Yogyakarta, Indonesia

Contact Info

Product

Resources

About