Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Deep neck abscess is a prevalent clinical phenomenon in poor nations like ours. Despite the extensive use of antibiotics, deep neck infections do not disappear and remain one of the most challenging crises faced in everyday clinical practice. The scope and severity of the sickness could become life‐threatening. Therefore, coping with deep neck abscess remain a problem to otolaryngologists. This study aims to evaluate the bacteriological pattern and antimicrobial susceptibility in deep neck space abscesses. It was a cross‐sectional observational research. 70 patients with deep neck space abscesses fulfilling the inclusion and exclusion criteria admitted to the department of ENT and Head Neck Surgery, from 1st July 2022 to 30th December 2023 were enrolled in this study. Pus from deep neck space abscess was collected by either aspiration or incision and drainage with suitable aseptic precaution and delivered via sterile test tube to microbiology department promptly. Data were acquired by complete history gathering and clinical examination and investigations with informed written consent and analyzed by SPSS (version 20). In this study most typically implicated deep neck areas were Submandibular (38%), Peritonsillar (32%), Retropharyngeal (14%), and parapharyngeal (8%) spaces. Streptococcus viridans was the most prominent organism 14 (28%) followed by Klebsiella pneumonia 9(18%) and Staph. aureus 4 (8%). The most effective antibiotic was Ceftriaxone 34(79%) followed by Cefuroxime 30 (70%) and Erythromycin 23(54%). Aerobic organisms were very susceptible to Cefuroxime (83%) and Ceftriaxone (83%) followed by Erythromycin (48%). Anaerobic organisms were responsive to Clindamycin (100%), Metronidazole (100%), and Erythromycin (100%) followed by Ceftriaxone (75%). The most frequently isolated organism in deep neck space abscesses were Streptococcus viridans and Staphylococcus aureus and sensitivity data showed the majority of isolates are responsive to Ceftriaxone and Cefuroxime.
How to cite this article:
Shelja , Naina Nehra, Birjesh Kumar Thakran, Anuj Kamboj, Amisha Rathee and Rajesh Bareja. Evaluation of Bacteriological Pattern and Antimicrobial Susceptibility in Deep Neck Space Abscess.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.8.119.123
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.8.119.123