Etiology of Deep Neck Infection and Determination of their Predisposing Factors and Microbial Pattern

Farjana Sultana,Md Rezaul Karim,Mohiuddin Ahmed,Mokerrom Hassan

doi:10.3329/updcj.v6i2.31723

Abstract

Deep neck infection is an infection in the potential spaces and fascial planes of either with abscess formation or cellulitis .However some of may still result in fatal complications. This paper described the etiology of deep neck infection, their predisposing factors and microbial pattern. More than 50% subject of this study were of younger age group ( below 40 years) with male predominance (65%). Regarding the neck space submandibular space was the most commonly involved(32%). Etiology of neck abscess showed that odontogenic cause was the most common (60%) among the respondent, then come infected cyst, tumour. Among the predisposing factors of deep neck infection, Anaemia comprises the highest percentage (45.2%). Then comes diabetes and Liver disease, Oral hygiene, index relates with the odontogenic cause. Among the odontogenic cause patient (71.8%) had poor oral hygiene index. Regarding microbial pattern streptococcus was the highest predominance followed by Staphylococcus and E coli. This results correlates with the common dental infective microorganism which also stands for odontogenic cause of deep neck abscess. This study concluded that maintenance of good oral hygiene can prevent deep neck abscess and their devastating effect of Bangladeshi people.Update Dent. Coll. j: 2016; 6 (2): 13-20

Highlights

Deep neck infection is an infection in the potential spaces and fascial planes of the neck either with abscess formation or cellulites
This paper described the etiology of deep neck infection, their predisposing factors and microbial pattern
Regarding microbial pattern streptococcus was the highest predominance followed by Staphylococcus and E coli. This results correlates with the common dental infective microorganism which stands for odontogenic cause of deep neck abscess

Summary

Introduction

Deep neck infection is an infection in the potential spaces and fascial planes of the neck either with abscess formation or cellulites. Infection were encountered more frequently in the pre antibiotic era and were associated with poor oral hygiene, they can still cause significant morbidity and mortality, Despite the present administration of antibiotics and the improvement of modern dental care. The present study is designed to find out the etiology of deep neck infection, their predisposing factors and determination of causative organisms. Figure-2: Percentages of respondents according to sex Fugure shows sex distribution among the 73 respondents about 67.12% (49) patients are male and rests 32.87%(24) are female. Study period was January 2010 to March 2011.Inclusion criteria was Patients having deep neck abscess. According to exclusion and inclusion criteria patients having deep neck infection will be. Bar chart shows the etiological factor odontogenic cause between male and female were 29% and 15%, infected cyst 11 and 2 pharyngotonsillitis 2% and 1% .

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Discussion

Conclusion