This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
Research article
Jia-Ao Yu
Corresponding Author
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background
Although the incidence and mortality of deep neck infection has decreased, this infection still relatively frequent and can be associated with lethal complications. In this study, the authors present our clinical experience of patients with posterior deep neck infection (PDNI) diagnosed and treated in a territory reconstructive unit in northeastern China.
Methods
A retrospective chart review of patients diagnosed with PDNI from January 2009 and December 2018 was performed. A data analysis was performed relating to demographic characteristics, clinical presentation, comorbidities, bacterial culture, laboratory and radiographic evaluations, diagnostic clues, management, complications as well as the clinical course and outcome.
Results
During the ten-year period there were 174 consecutive patients admitted to our reconstructive center with final diagnosis of PDNI were included. All the patients were adults with the majority were male (67.2%). The patient mean age was 51.3 years (range, 15 - 88 years). There were 114 patients (65.5%) who had associated systemic diseases, with the most common comorbidity was diabetes mellitus (40.2%). Common presented clinical symptoms were pain (90.8%), swelling (85.1%) and erythema (77%) of the neck. Surgical treatment was performed in all the patients and most of them (83.9%) received the first surgery within 24 h. The most commonly isolated pathogen was Staphylococcus aureus (30%). Vancomycin (21.3%) was the most commonly used antibiotics, followed by cefepime (18.4%). All the patients survived and discharged with mean duration of hospitalization of 28.7 days. Those patients with underlying systemic diseases (31.4 ± 12.35 days) or complications (41.0 ± 12.5 days) tended to have a longer hospital stay. The mean cost of admission per patient was 47 644 RMB.
Conclusion
This study highlights the high cost burden of PDNI patients. Those patients with underlying systemic diseases or complications tended to have a longer hospital stay.
Keywords
Infection, neck, surgical procedures, abscess, diabetes mellitus
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
Loading...
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 09 May, 2019
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Infectious Diseases
Learn more about our company.
A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research article
Jia-Ao Yu
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 09 May, 2019
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Infectious Diseases
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background
Although the incidence and mortality of deep neck infection has decreased, this infection still relatively frequent and can be associated with lethal complications. In this study, the authors present our clinical experience of patients with posterior deep neck infection (PDNI) diagnosed and treated in a territory reconstructive unit in northeastern China.
Methods
A retrospective chart review of patients diagnosed with PDNI from January 2009 and December 2018 was performed. A data analysis was performed relating to demographic characteristics, clinical presentation, comorbidities, bacterial culture, laboratory and radiographic evaluations, diagnostic clues, management, complications as well as the clinical course and outcome.
Results
During the ten-year period there were 174 consecutive patients admitted to our reconstructive center with final diagnosis of PDNI were included. All the patients were adults with the majority were male (67.2%). The patient mean age was 51.3 years (range, 15 - 88 years). There were 114 patients (65.5%) who had associated systemic diseases, with the most common comorbidity was diabetes mellitus (40.2%). Common presented clinical symptoms were pain (90.8%), swelling (85.1%) and erythema (77%) of the neck. Surgical treatment was performed in all the patients and most of them (83.9%) received the first surgery within 24 h. The most commonly isolated pathogen was Staphylococcus aureus (30%). Vancomycin (21.3%) was the most commonly used antibiotics, followed by cefepime (18.4%). All the patients survived and discharged with mean duration of hospitalization of 28.7 days. Those patients with underlying systemic diseases (31.4 ± 12.35 days) or complications (41.0 ± 12.5 days) tended to have a longer hospital stay. The mean cost of admission per patient was 47 644 RMB.
Conclusion
This study highlights the high cost burden of PDNI patients. Those patients with underlying systemic diseases or complications tended to have a longer hospital stay.
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
Loading...