Microbiologic Investigations for Head and Neck Infections

Roscoe, Diane; Hoang, Linda

doi:10.1016/j.idc.2007.03.012

Cited by 14 publications

(7 citation statements)

References 48 publications

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“…and Klebisiella pneumoniae , the latter being more common in diabetic patients. 26 Sennes found Streptococcus viridans in 41.5% of the cases, Staphylococcus aureus in 20.7% of them, and 3.8% with Haemophilus influenza . 14 In our study, Streptococcus pyogenes was the most frequently detected agent (23.3%), which can be explained by the higher incidence of peritonsillar infections.…”

Section: Discussionmentioning

confidence: 95%

Deep neck abscesses: study of 101 cases

Brito

Hazboun

Fernandes

et al. 2017

Brazilian Journal of Otorhinolaryngology

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Section: Discussionmentioning

confidence: 95%

Deep neck abscesses: study of 101 cases

Brito

Hazboun

Fernandes

et al. 2017

Brazilian Journal of Otorhinolaryngology

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“…Molecular techniques, eg, sequence-based analysis, such as 16S rRNA, have been advocated for organisms that are poorly cultivable or for identification when traditional phenotypic methods have failed. 13…”

Section: Discussionmentioning

confidence: 99%

“…3 Molecular techniques, eg, sequence-based analysis, such as 16S rRNA, have been advocated for organisms that are poorly cultivable or for identification when traditional phenotypic methods have failed. 13 In the past studies, S pyogenes, S aureus, and anaerobes were emphasized as predominant organisms in DNIs. 14 Although anaerobic cultures were not performed in all cases, 1 study reported that gram-negative organisms have replaced hemolytic streptococcus as the dominant pathogen in deep neck abscesses.…”

Section: Bacteriamentioning

confidence: 99%

Deep Neck Space Infections: A Case Series and Review of the Literature

Maharaj

Ahmed

Pillay

2019

Clin Med Insights Ear Nose Throat

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Deep neck spaces are regions of loose connective tissue filling areas between the 3 layers of deep cervical fascia, namely, superficial, middle, and deep layers. The superficial layer is the investing layer, The pretracheal layer is the intermediate layer and the prevertebral layer is the deepest layer. Deep neck space infection (DNI) is defined as an infection in the potential spaces and actual fascial planes of the neck. Once the natural resistance of fascial planes is overcome, spread of infection occurs along communicating fascial boundaries. More recent trends include the increasing prevalence of resistant bacterial strains, a decline in DNIs caused by pharyngitis or tonsillitis, and a relative increase in DNIs of odontogenic origin. Most DNIs are polymicrobial. Only 5% are purely aerobic and 25% with isolated anaerobes. The epidemiology of DNIs needs to be monitored for changing trends and the impact of underlying host immunity and developing microbial multidrug resistance is established. Surveillance at laboratory level should include mandatory susceptibility testing of all empiric antibiotics against microbes commonly identified in adult DNI microscopy, culture, and sensitivity (MC&S) specimens. The role of susceptibility testing of microbes not commonly identified in adult DNI MC&S specimens needs further review, on a clinical case-by-case basis.

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“…Authors published that the most frequent bacteria were Streptococcus viridiana, and Staphylococcus aureus. On the other hand, Roscoe et al 18 and Caccamese at al. 19 detected Streptococcus viridana, Streptococcus milleri, Prevotella spp, Peptostreptococcus spp and Klebsiella pneumoniae.…”

Section: Discussionmentioning

confidence: 95%

Predictors of poor outcome of deep neck infections

Umihanić¹,

Umihanic²,

Ramic³

et al. 2018

MMJ

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Early stage of the disease looks like abscess and cellulitis. This benign image is the most important reason behind late diagnosis. But, cellulitis can be a very dangerous disease because of its tendency to spread the infection through blood or lymph and deeper pe-ABSTRACT Deep neck infections still remain one of the important causes of morbidity, although their prevalence has been diminished with modern antimicrobal therapy. The target of the retrospective is to demonstrate our experience in the treatment of serious cases of deep neck infections (phlegmons) and to identify the predictors of a possibly poor outcome. This retrospective study comprised 44 patients with neck phlegmons, who were treated at the ENT Clinic, during 2000-2016. The study included the etiology, predisposing factors, causative microbiological organisms, and the clinical outcomes associated with the mortality. During investigated time period, 44 patients with deep neck infections (phlegmons) were noted. The median age of the patients was 45.9 years (range, 14-81), and study population included 26 males (59%). The median hospital stay was 22.5 days (from 3-80 days). Staphylococcus aureus was the most commonly isolated bacteria. Death was noted in 10 patients (22.7%). Timely diagnosis together with aggresive surgical treatment and appropriate antibacterial therapy were the key to sucess in the treatment of the patients with deep neck infections. The factors associated with poor prognosis in our patients included tonsillar disease, diabetes mellitus, mediastinitis, age above 65 years.

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Microbiologic Investigations for Head and Neck Infections

Cited by 14 publications

References 48 publications

Deep neck abscesses: study of 101 cases

Deep neck abscesses: study of 101 cases

Deep Neck Space Infections: A Case Series and Review of the Literature

Predictors of poor outcome of deep neck infections

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