Hope GJA, Morales CM

Language: Spanish
References: 12
Page: 85-91
PDF size: 654.14 Kb.

ABSTRACT

Background: Even though antibiotics have decreased mortality related to deep neck abscesses, these may be associated to severe complications and, even, to death.
Objectives: To describe the frequency of the infections agents causative of deep neck abscess, their resistance to the different antibiotics, as well as to find predisposing factors for these infections.
Material and method: Retrospective, observational and descriptive study. The surgical books and medical records were examined from 1998 to 2006.
Results: The odontogenic infections were the main etiologic factors (62.6%). The main bacteria cultured were: Streptococcus alfa haemolyticus (13 cases), Staphylococcus epidermidis (seven cases) and Streptococcus milleri (five cases). Only three anaerobic bacteria were isolated. Clindamycin and tetracycline were the antibiotics that showed the highest resistance. Diabetes mellitus was the main associated systemic disease; in average these patients required more surgical interventions. Sixty three percent of the patients that required intensive care unit had three or more spaces involved.
Conclusions: Deep neck abscess of odontogenic origins continue to be the most frequent. The bacteria culture in this study is similar to that reported in the world literature, but still differs in our decrease incidence of anaerobic bacteria culture in our study. This might be due to a deficiency in the taking of the samples or in their culture techniques. There is an increased resistance to clindamycin, this is important to take into consideration for future decisions regarding the initial management of these infections. Surgery continues to be the gold standard of treatment.

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