* Corresponding Author
The effect of appropriate antibiotic use on the length of hospital stay in deep neck abscess (DNA) patients
https://doi.org/10.19106/JMedSci005501202308 Hesti Dyah Palupi(1*), Dian Paramita Wulandari(2), Feri Trihandoko(3)
(1) Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr. Sardjito General Hospital Yogyakarta, Indonesia
(2) Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr. Sardjito General Hospital Yogyakarta, Indonesia
(3) Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr. Sardjito General Hospital Yogyakarta, Indonesia
(*) Corresponding Author
Abstract
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.
Keywords
Full Text:
PDFReferences
1.Alias K, Colbert R, Devakumari S. Diagnosis and management of deeper neck infections: a review. IOSR J Dent Med Sci. 2013; 9(5): 36–41.
2.Dabirmoghaddam P, Mohseni A, Navvabi Z, Sharifi A, Bastaninezhad S, Safaei A. Is ultrasonography-guided drainage a safe and effective alternative to incision and drainage for deep neck space abscesses? J Laryngol Otol 2017; 131(3):259–263.
https://doi.org/10.1017/S002221511700007X.
3.Murray AD. Deep neck infections. Medscape, https://emedicine.medscape.com/ article/837048-overview, April 7, 2022.
4.Chan Y & Goddad JC. Lee, K.J. Lee’s Otolaryngology: head and neck surgery, 12th ed. McGraw-Hill Company, 2019.
5.Lee YQ, Kanagalingam J. Deep neck abscesses: the Singapore experience. Eur Arch Otorhinolaryngol 2011; 268:609–14
6.Boyanova L, Kolarov R, Gergova G, Deliverska E, Madjarov J, Marinov M, et al. Anaerobic bacteria in 118 patients with deep space head and neck infections from the University of Hospital of Maxillofacial Surgery, Sofia Bulgaria. J Med microbial 2006; 55(9): 1285 – 9.
Htpps://doi.org/10.1099/jmm.0.46512-0.
7.McClay JE, Murray AD, Booth T. Intravenous antibiotic therapy for deep neck abscesses defined by computed tomography. Arch Otolaryngol Head Neck Surg 2003;129(11):1207–12.
https://doi.org/10.1001/archotol.129.11.1207.
8.Brito TP, Hazboun IM, Fernandes FL, Bento LR, Zappelini CEM, Chone CT, et al. Deep neck abscess: study of 101 cases. Braz J Otorhinolaryngol 2017; 83(3): 341-8. https://doi.org/10.1016/j.bjorl.2016.04.004.
9.Kauffmann P, Cordesmeyer R, Tröltzsch M, Sömmer C, Laskawi R. Deep neck infections: A single-center analysis of 63 cases. Med Oral Patol Oral Cir Bucal 2017;22(5):e536-e541.
https://doi.org/10.4317/medoral.21799.
10.O'Brien KJ, Snapp KR, Dugan AJ, Westgate PM, Gupta N. Risk factors affecting length of stay in patients with deep neck space infection. Laryngoscope 2020;130(9):2133-7.
https://doi.org/10.1002/lary.28367.
11.Kityamuwesi R, Muwaz L, Kasangaki A, Kajumbula H, Rwenyonyi C. Characteristics of pyogenic odontogenic infection in patients attending Mulago Hospital, Uganda: a cross-sectional study. BMC Microbiol 2015: 15(1), 1-10.
https://doi.org/10.1186/s12866-015-0382-z
12.Diamantis S, Giannakopoulos H, Chou J, Foote J. Descending necrotizing mediastinitis as a complication of odontogenic infection. Int J Surg Case Rep 2011; 2: 65-67
13.Bakir S, Tanriverdi MH, Gün R, Yorgancilar AE, Yildirim M, Tekbaş G, et al. Deep neck space infections: a retrospective review of 173 cases. Am J Otolaryngol 2012; 33(1), 56–63.
https://doi.org/10.1016/j.amjoto.2011.01.003.
14.Weise H, Naros A, Weise C, Reinert S, Hoefert S. Severe odontogenic infections with septic progress – a constant and increasing challenge: a retrospective analysis. BMC Oral Health 19. 2019; 173.
https://doi.org/10.1186/s12903-019-0866-6
15.Marioni G, Staffieri A, Parisi S, Marchese-Ragona R, Zuccon A, Staffieri C, et al. Rational diagnostic and therapeutic management of deep neck infections: Analysis of 233 consecutive cases. Ann Otol Rhinol Laryngol 2010; 119(3): 181-7.
https://doi.org/10.1177/000348941011900306.
16.Kamath MP, Shetty AB, Hegde MC, Sreedharan S, Bhojwani K, Padmanabhan K, et al. Presentation and management of deep neck space abscess. Indian J Otolaryngol Head Neck Surg 2003; 55(4): 270–75.
https://doi.org/10.1007/BF02992436
17.Nuryah A, Yuniarti N, Puspitasari I. Prevalence and evaluation of suitability of antibiotic use in patients with methicillin resistant Staphylococcus aureus in RSUP Dr. Soeradji Tirtonegoro Klaten. MF 2019; 15(2): 123-29.
https://doi.org/10.22146/farmaseutik.v15i2.47911
DOI: https://doi.org/10.19106/JMedSci005501202308
Article Metrics
Abstract views : 913
| 
views : 1576
Copyright (c) 2023 Hesti Dyah Palupi, Dian Paramita Wulandari, Feri Trihandoko
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.