Isolated Microorganisms and Antimicrobial Resistance of the Deep Neck Infection: A Retrospective Review of 76 Cases.
- Author:
Hyung Min SONG
1
;
Seung Hyo CHOI
;
Seung Ho CHOI
;
Sang Yoon KIM
;
Soon Yuhl NAM
Author Information
1. Department of Otolaryngology, University of Ulsan College of Medicine, Seoul, Korea. synam@amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Neck;
Abscess;
Antibiotic resistance;
Antibiotics;
Bacteria
- MeSH:
Abscess;
Ampicillin;
Anti-Bacterial Agents;
Bacteria;
Diagnosis;
Drug Resistance, Microbial;
Humans;
Incidence;
Klebsiella pneumoniae;
Neck*;
Oral Hygiene;
Peptostreptococcus;
Retrospective Studies*;
Staphylococcus;
Streptococcus;
Viridans Streptococci
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2006;49(1):66-71
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: The incidence of deep neck infection has decreased after the introduction of antibiotics and improvement of oral hygiene, but they still may be lethal especially when life-threatening complications occur. The purposes of this study are to find out common organisms, rates of antimicrobial resistance in the deep neck infection. SUBJECTS AND METHOD: We have conducted a retrospective study of 76 patients with the diagnosis of deep neck infection that had been seen between January 1998 and December 2003. RESULTS: The most common pathogens found were Streptococcus viridans (34%), followed by Klebsiella pneumoniae (19.4%), Streptococcus Group F (11.9%), beta-hemolytic streptococci (11.9%) and Peptostreptococcus (7.5%). Staphylococcus species was not found. Of the aerobes found, 74.1% were sensitive to all antibiotics. All Streptococci, with one exception, were not resistant to any antibiotics. All Klebsiella pneumoniae were resistant to ampicillin. Klebsiella pneumoniae were cultured in 50% of DM patients. CONCLUSION: The most common pathogens were Streptococcus viridans (34%). Of these aerobes, 74.1% were sensitive to all antibiotics. All isolated microorganisms were sensitive to ampicillin/sulbactam (Unasyn(R)) used before the results of bacterial cultures.
