심경부 감염의 세균학적 특징

김동현; 최효근; 김지희; 김현석; 박범정

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자료유형: 학술저널

저자정보: 김동현 최효근 김지희 김현석 박범정

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제57권 제6호

발행연도: 2014.1

수록면: 379 - 383 (5page)

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Background and Objectives This study aimed to review the characteristics of microbiology of deep neck abscess and to recommend adequate empirical antibiotics. Subjects and Method Medical records of the 71 patients who underwent surgical drainage for deep neck abscess were reviewed retrospectively. We analyzed correlations between age, gender, etiology and diabetes mellitus and the cultured organism with respect to susceptibility of antibiotics. Results The leading pathogens were Streptococcus viridians group (18.3%), Klebsiella pneumonia (K. pneumonia, 15.5%), Staphylococcus aureus (S. aureus, 15.5%) and α-hemolytic Streptococcus (12.7%). The most common source of infection had a dental origin. Streptococcus viridians group was associated with infections of dental origin and K. pneumonia infection was over-represented in the diabetic group compared to the non-diabetic group. Antibiotics susceptibility test showed that four leading pathogens were susceptible to ampicillin/sulbactam. The rate of methicillin-resistant S. aureus accounting for S. aureus infections was only 18.2%. Conclusion Only ampicillin/sulbactam without other antibiotics was sufficient to treat deep neck abscess empirically. Thus we suggest that other antibiotics that target anaerobes or 3rd generation cephalosporin are not necessary for the empirical treatments of deep neck abscess. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(6):379-83

#Abscess #Antibiotics #Culture #Infection #Neck

참고문헌 (24)

참고문헌 신청

Bakir S / 2012 / Deep neck space infections: a retrospective review of 173cases / Am J Otolaryngol 33 (1) : 56 ~ 63

Bong JP / 1999 / Two cases of deep neck infection with mediastinal involvement / Korean J Otolaryngol-Head Neck Surg 42 (12) : 1587 ~ 1592

Boscolo-Rizzo P / 2012 / Deep neck infections: a study of 365 cases highlighting recommendations for management and treatment / Eur Arch Otorhinolaryngol 269 (4) : 1241 ~ 124

Brook I / 2011 / Antimicrobial treatment of anaerobic infections / Expert Opin Pharmacother 12 (11) : 1691 ~ 1707

Bryskier A / 2002 / Viridans group streptococci: a reservoir of resistant bacteria in oral cavities / Clin Microbiol Infect 8 (2) : 65 ~ 69