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논문KCI 등재

경부 심부 감염의 임상적 고찰

Clinical Study of Deep Neck Infection

조성일|이준한|김건형|동근우|도남용
대한이비인후과학회 (Korean Society of Otorhinolaryngology-Head and Neck Surgery)|2007.03|대한이비인후과학회지 두경부외과학 (Korean Journal of Otorhinolaryngology-Head and Neck Surgery)|제50권 제3호|pp. 240-246

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참고문헌

키워드

경부·감염·세균·항생제.Neck· Infection· Bacteria· Antibiotics.
주제분류이비인후과학

초록

Abstract

Background and Objectives：The incidence of deep neck infection has decreased after the introduction of antibiotics and im-provement of oral hygiene, but it may still be lethal especially when life-threatening complications occur. The objective of this symptoms, clinical course, microorganisms, and management of deep neck infections. Subjects and Method：We retrospectively reviewed the records of 134 patients who were diagnosed with deep neck infection and who received treatment at the Chosun University Hospital betwen 1996 and 2005 for the analysis of age and sex, distribution related to spaces involved, the location of cellulitis and abscess, the side of lesion, the symptoms and signs, the etiologic events, the associated conditions, the result of culture, and the treatments. Peritonsillar abscesses were excluded from this study. Results：The parapharyngeal space and extended space were the most commonly involved space of deep neck infections, folowed by submandibular space, retropharyngeal space, and Ludwigs angina. The most common pathogens found were Streptococcus, followed by Klebsiella and Staphylococcus. In diabetic patients, Klebsiella pneumoniae was the most common causative pathogen. Peptostreptococcus was the most common anaerobic pathogen. Conclusion：Initial management including trial of proper empi-rical antibiotics is important. According to the culture and antibiotic sensitivity test in this study, a combined therapy of amoxi-cillin/clavulanic acid and metronidazole is useful in polymicrobial deep neck infection. (Korean J Otolaryngol 2007 ;50 :240-6)

참고문헌 (17)

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관련 논문AI추천

소아 심경부감염의 고찰태경, 박인범, 박철원, 이근영, 이동욱, 이형석대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2005 · 제48권 제11호당뇨환자에서 심경부감염에 대한 임상적 고찰이준규, 임상철대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2006 · 제49권 제3호경부에 발생한 괴사성 근막염에 대한 임상적 고찰김진성, 양윤수, 이재근, 이화욱, 홍기환대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2005 · 제48권 제8호측인두강 농양의 임상적 고찰김영주, 김철호, 이장우, 정연훈대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2003 · 제46권 제9호소아 심부 경부 농양에 대한 임상적 고찰강진한, 김선미, 김종현, 이대형, 이정현, 허재균대한소아감염학회 · Pediatric Infection and Vaccine2004 · 제11권 제1호경부심부감염에서 동정균 및 항생제 감수성 고찰김상윤, 남순열, 송형민, 최승호, 최승효대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2006 · 제49권 제1호

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