심경부감염 환자 치료에 있어서 Modified LRINEC 점수의 유용성
Usefulness of the Modified LRINEC Score in the Treatment of Patient with Deep Neck Infection
2
조회
0
다운로드
2
인용
0
참고문헌
초록
Background and Objectives Deep neck infection can occur at any age and is a potentially life-threatening diseases. However, an early recognition of aggravating infections is clinically difficult. In this study, we aimed to determine the Modified Laboratory Risk Indicator for Necrotizing Fasciitis (M-LRINEC) scores to predict aggravating deep neck infections. Subjects and Method We retrospectively analyzed 72 patients with deep neck infection from January 2010 and December 2012 in a tertiary hospital. Differences in patient characteristics, radiographic findings, LRINEC scores, and M-LRINE scores were compared between the non-surgical group and the surgical group. Results The mean M-LRINEC scores were 4.35 and 1.39 in the surgical group and non-surgical group, respectively. Significant differences between the two groups were found in age, size of abscess, multiple spaces involvement, air collection, and mediastinitis. Conclusion The M-LRINEC score is an useful indicator that signals the need to initiate early surgery and also to predict aggravating deep neck infections.
Abstract
Background and Objectives Deep neck infection can occur at any age and is a potentially life-threatening diseases. However, an early recognition of aggravating infections is clinically difficult. In this study, we aimed to determine the Modified Laboratory Risk Indicator for Necrotizing Fasciitis (M-LRINEC) scores to predict aggravating deep neck infections. Subjects and Method We retrospectively analyzed 72 patients with deep neck infection from January 2010 and December 2012 in a tertiary hospital. Differences in patient characteristics, radiographic findings, LRINEC scores, and M-LRINE scores were compared between the non-surgical group and the surgical group. Results The mean M-LRINEC scores were 4.35 and 1.39 in the surgical group and non-surgical group, respectively. Significant differences between the two groups were found in age, size of abscess, multiple spaces involvement, air collection, and mediastinitis. Conclusion The M-LRINEC score is an useful indicator that signals the need to initiate early surgery and also to predict aggravating deep neck infections.
참고문헌 (15)
- Wong CH, "The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections", Crit Care Med, 32(7), pp.1535~1541 (2004)
- Thomas AJ, "Retrospective evaluation of laboratorybased diagnostic tools for cervical necrotizing fasciitis", Laryngoscope, 122(12), pp.2683~2687 (2012)
- Vincent JL, "Hypoalbuminemia in acute illness: is there a rationale for intervention? A meta-analysis of cohort studies and controlled trials", Ann Surg, 237(3), pp.319~334 (2003)
- Hedström M, "Serum albumin and deep infection in femoral neck fractures. A study of 437 cases followed for one year", Int Orthop, 22(3), pp.182~184 (1998)
- Kim CS, "Clinical study of deep neck infection: clinical analysis of a hundred cases", Korean J Otolaryngol-Head Neck Surg, 40(9), pp.1325~1332 (1997)
- Boscolo-Rizzo P, "Deep neck infections: a study of 365 cases highlighting recommendations for management and treatment", Eur Arch Otorhinolaryngol, 269(4), pp.1241~1249 (2012)
- Choo MJ, "Efficacy of computed tomography for diagnosis and treatment of the deep neck infection", Korean J Otolaryngol-Head Neck Surg, 40(12), pp.1826~1832 (1997)
- Maroldi R, "Emergency imaging assessment of deep neck space infections", Semin Ultrasound CT MR, 33(5), pp.432~442 (2012)
- Freling N, "Prediction of deep neck abscesses by contrast-enhanced computerized tomography in 76 clinically suspect consecutive patients", Laryngoscope, 119(9), pp.1745~1752 (2009)
- 우주현, "심경부감염의 치료에 영향을 줄 수 있는 요인들에 대한 임상 분석", 대한이비인후과학회지 두경부외과학, 51(6), pp.544~548 (2008), 대한이비인후과학회
- Holt GR, "Computed tomography in the diagnosis of deep-neck infections", Arch Otolaryngol, 108(11), pp.693~696 (1982)
- Lille ST, "Necrotizing soft tissue infections: obstacles in diagnosis", J Am Coll Surg, 182(1), pp.7~11 (1996)
- Mihos P, "Management of descending necrotizing mediastinitis", J Oral Maxillofac Surg, 62(8), pp.966~972 (2004)
- Wall DB, "A simple model to help distinguish necrotizing fasciitis from nonnecrotizing soft tissue infection", J Am Coll Surg, 191(3), pp.227~231 (2000)
- Tsai YH, "Microbiology and surgical indicators of necrotizing fasciitis in a tertiary hospital of southwest Taiwan", Int J Infect Dis, 16(3), pp.e159~e165 (2012)