Venter Florian Ciprian, Ghitea Timea Claudia, Venter Adrian Nicolae, El-Kharoubi Amin-Florin, El-Kharoubi Mousa, Ghitea Evelin Claudia, Ghitea Marc Cristian, Venter Amina
Doctoral School of Biological and Biomedical Sciences, University of Oradea, 410087 Oradea, Romania.
Pharmacy Department, Faculty of Medicine and Pharmacy, University of Oradea, 410068 Oradea, Romania.
J Clin Med. 2025 Apr 1;14(7):2410. doi: 10.3390/jcm14072410.
Vitamin D plays a crucial role in immune system function, and its deficiency has been associated with an increased risk of infections. This study investigates the relationship between vitamin D deficiency and the severity of purulent oropharyngeal infections, considering the need for surgical interventions and the duration of hospitalization. This retrospective study included patients diagnosed with peritonsillar phlegmons, laterocervical abscesses, and peritonsillar abscesses. Patients were categorized based on their vitamin D levels: deficiency (<30 ng/mL) and optimal levels (≥30 ng/mL). The clinical parameters, length of hospitalization, and type of treatment were analyzed. Statistical analyses included Student's -test, the chi-square test, and ANOVA to assess differences between groups. Patients with vitamin D (25(OH)D3) deficiency had a significantly longer hospital stay (8.50 days vs. 3.24 days, = 0.001) and required more frequent surgical interventions (55.6% vs. 27.8%, = 0.002) compared to those with optimal vitamin D levels. A trend toward more complex treatment regimens was also observed, although this relationship was not statistically significant ( > 0.05). These findings suggest that vitamin D (25(OH)D3) deficiency may contribute to a more severe course of oropharyngeal infections, increasing the need for invasive treatments and prolonging hospitalization. This highlights the importance of monitoring vitamin D (25(OH)D3) levels and the potential benefits of supplementation in preventing and managing severe upper respiratory tract infections.
维生素D在免疫系统功能中起着关键作用,其缺乏与感染风险增加有关。本研究考虑到手术干预的必要性和住院时间,调查维生素D缺乏与脓性口咽感染严重程度之间的关系。这项回顾性研究纳入了被诊断为扁桃体周围蜂窝织炎、颈外侧脓肿和扁桃体周围脓肿的患者。患者根据其维生素D水平进行分类:缺乏(<30 ng/mL)和最佳水平(≥30 ng/mL)。分析了临床参数、住院时间和治疗类型。统计分析包括学生t检验、卡方检验和方差分析,以评估组间差异。与维生素D水平最佳的患者相比,维生素D(25(OH)D3)缺乏的患者住院时间明显更长(8.50天对3.24天,P = 0.001),并且需要更频繁的手术干预(55.6%对27.8%,P = 0.002)。还观察到治疗方案更复杂的趋势,尽管这种关系在统计学上不显著(P>0.05)。这些发现表明,维生素D(25(OH)D3)缺乏可能导致口咽感染病程更严重,增加侵入性治疗的需求并延长住院时间。这突出了监测维生素D(25(OH)D3)水平的重要性以及补充维生素D在预防和管理严重上呼吸道感染方面的潜在益处。