Changing Epidemiology Microbiology and Management Techniques of Retropharyngeal Abscess in Developing Economy in India

Abstract

Aim: Retropharyngeal abscess are potentially fatal infections of deep neck spaces with high morbidity and mortality. We study the current clinical scenario of this fatal infection in the modern world. Background: Retropharyngeal abscess are considered predominantly as pediatric infections of deep neck spaces. Their prompt diagnosis and management has always presented a challenge to healthcare expert Study design: This is a retrospective multi-centric study conducted for 3 years at two tertiary care units and comprising 16 cases (2 pediatric and 14 adults). It focuses on each aspect of retropharyngeal abscess in today's world ranging from epidemiology to management to outcome. Conclusion: We have noted an increase in regional incidence of retropharyngeal abscess in adult females. However, infection is more severe in children. Most of the cases in adults are a result of odontogenic infections. Also, there is an increase in no of cases due to Pseudomonas species. Increase in the number of multidrug resistant strains is seen. Case of tubercular retropharyngeal abscess is still seen and requires anti-tuberculosis therapy of long duration for complete resolution. Complete surgical drainage of abscess under General Anesthesia reduces duration of Hospital stay.