A Retrospective Study of Deep Neck Infection among Inpatients Audiovisual, Neck, Nasal Sections at Srisaket Hospital, Srisaket Province between 2017-2019.

Abstract

This retrospective research was studied about the deep neck infection among admitted patients in Sisaket hospital between 2017-2019.Type of microorganism, underlying diseases, factors related to the disease,choices of antibiotic and treatment

process had been included in the study. Population of the study are from in-patients who had been admitted in the ENT department of Sisaket hospital between October, 2017 to September,2019. The result was found that 238 patients who had been admitted among the study period are male more than female, the most common infected site is Submandibular space (25.5%), most common cause from dental carries (57.1%), most common complication is post-operation intubation, Septic shock and Pneumonia. The most common type of infection is abscess (83.2%), Gram stain was found to be Gram positive cocci 70.3% and Klebsiella pneumoniae was the most common micro bacterial culture result (31.1%). Patients with Klebsiella pneumoniae culture positive 88.9% have Diabetes Mellitus as the underlying disease. The study was found that Antibiotic treatment together with the incision and drainage operation has the average hospital stay outcome as 6.3 days while antibiotic treatment without operation has the average hospital stay as 3.8 days. The treatment result found that 73.9% patients had been discharged.  Deep neck infection is an emergency condition that needed quick diagnosis and proper treatment. Antibiotics treatment with abscess drainage within first 24 hours could degrease the further complications.