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特发性颈面部脓肿的发病机制与微生物学

The pathogenesis and microbiology of idiopathic cervicofacial abscesses.

作者信息

Adekeye E O, Adekeye J O

出版信息

J Oral Maxillofac Surg. 1982 Feb;40(2):100-6. doi: 10.1016/s0278-2391(82)80034-7.

DOI:10.1016/s0278-2391(82)80034-7
PMID:6950044
Abstract

Sixty-three cases of idiopathic cervicofacial abscesses were surveyed. Several debilitating conditions, probably responsible for diminished resistance to infection, were found in association with the abscesses. The condition mainly affected children under two years of age, and the submandibular and submental regions were the most common sites of occurrence. The predominant infecting organism was Staphylococcus aureus. The abscess cavity was a statistically significant source of S. aureus, but the nose, ear, mouth, and skin did not appear to be significant sources of the pathogen. Antibiotics such as Dalacin C and gentamicin were found to be active against all the strains of S. aureus. Although incision and drainage was the most effective method of treatment for the abscesses, appropriate antibiotics may be prescribed for those cases where suppuration has not yet taken place.

摘要

对63例特发性颈面部脓肿病例进行了调查。发现有几种使人虚弱的病症与脓肿相关,可能是导致抗感染能力下降的原因。该病症主要影响两岁以下儿童,最常见的发病部位是下颌下和颏下区域。主要感染菌是金黄色葡萄球菌。脓肿腔是金黄色葡萄球菌的一个具有统计学意义的来源,但鼻子、耳朵、口腔和皮肤似乎不是该病原体的重要来源。发现诸如克林霉素和庆大霉素等抗生素对所有金黄色葡萄球菌菌株均有活性。虽然切开引流是治疗脓肿最有效的方法,但对于尚未发生化脓的病例,可开具适当的抗生素。

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