Martínez Pascual Paula, Pinacho Martinez Paloma, Friedlander Eviatar, Martin Oviedo Carlos, Scola Yurrita Bartolome
Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Braz J Otorhinolaryngol. 2018 May-Jun;84(3):305-310. doi: 10.1016/j.bjorl.2017.03.008. Epub 2017 Apr 9.
Deep neck infections are defined as suppurative infectious processes of deep visceral spaces of the neck.
The aim of this study is to review different factors that may influence peritonsillar and deep neck infections and may play a role as bad prognosis predictors.
We present a retrospective study of 330 patients with deep neck infections and peritonsillar infections who were admitted between January 2005 and December 2015 in a tertiary referral hospital. Statistical analysis of comorbidities, diagnostic and therapeutic aspects was performed with Excel and SPSS.
There has been an increase in incidence of peritonsilar and deep neck infections. Systemic comorbidities such as diabetes or hepatopathy are bad prognosis factors. The most common pathogen was S. viridans (32.1% of positive cultures). 100% of the patients received antibiotics and corticosteroids, 74.24% needed surgical treatment. The most common complications were mediastinitis (1.2%) and airway obstruction (0.9%).
Systemic comorbidities are bad prognosis predictors. Nowadays mortality has decreased thanks to multidisciplinary attention and improvements in diagnosis and treatment.
颈部深部感染被定义为颈部深层内脏间隙的化脓性感染过程。
本研究的目的是回顾可能影响扁桃体周围和颈部深部感染并可能作为不良预后预测因素的不同因素。
我们对2005年1月至2015年12月期间在一家三级转诊医院收治的330例颈部深部感染和扁桃体周围感染患者进行了回顾性研究。使用Excel和SPSS对合并症、诊断和治疗方面进行了统计分析。
扁桃体周围和颈部深部感染的发病率有所增加。糖尿病或肝病等全身性合并症是不良预后因素。最常见的病原体是草绿色链球菌（阳性培养物的32.1%）。100%的患者接受了抗生素和皮质类固醇治疗，74.24%的患者需要手术治疗。最常见的并发症是纵隔炎（1.2%）和气道阻塞（0.9%）。
全身性合并症是不良预后预测因素。如今，由于多学科关注以及诊断和治疗的改善，死亡率有所下降。
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