Deep Neck Space Infections: A Case Series and Review of the Literature.
Deep neck spaces are regions of loose connective tissue filling areas between the 3 layers of deep cervical fascia, namely, superficial, middle, and deep layers. The superficial layer is the investing layer, The pretracheal layer is the intermediate layer and the prevertebral layer is the deepest la...
| Publicado en: | Clinical Medicine Insights: Ear, Nose & Throat Vol. 12 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
8/29/2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=140353670&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 140353670 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11795506 B3KP jtl: Clinical Medicine Insights: Ear, Nose & Throat issn: 11795506 maglogo: Y pubinfo: dt: 8/29/2019 vid: 12 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 140353670 140353670 140353670 10.1177/1179550619871274 140353670 ppct: 1 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Deep Neck Space Infections: A Case Series and Review of the Literature. aug: au: Maharaj, Shivesh Ahmed, Sumaya Pillay, Preba affil: Department of Otorhinolaryngology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Johannesburg, South Africa sug: subj: Neck Anatomy and Histology Neck Pathology Soft Tissue Infections Microbiology Human Drug Resistance, Microbial Immune System Bacteria, Aerobic Bacteria, Anaerobic Sensitivity and Specificity Microbial Culture and Sensitivity Tests ab: Deep neck spaces are regions of loose connective tissue filling areas between the 3 layers of deep cervical fascia, namely, superficial, middle, and deep layers. The superficial layer is the investing layer, The pretracheal layer is the intermediate layer and the prevertebral layer is the deepest layer. Deep neck space infection (DNI) is defined as an infection in the potential spaces and actual fascial planes of the neck. Once the natural resistance of fascial planes is overcome, spread of infection occurs along communicating fascial boundaries. More recent trends include the increasing prevalence of resistant bacterial strains, a decline in DNIs caused by pharyngitis or tonsillitis, and a relative increase in DNIs of odontogenic origin. Most DNIs are polymicrobial. Only 5% are purely aerobic and 25% with isolated anaerobes. The epidemiology of DNIs needs to be monitored for changing trends and the impact of underlying host immunity and developing microbial multidrug resistance is established. Surveillance at laboratory level should include mandatory susceptibility testing of all empiric antibiotics against microbes commonly identified in adult DNI microscopy, culture, and sensitivity (MC&S) specimens. The role of susceptibility testing of microbes not commonly identified in adult DNI MC&S specimens needs further review, on a clinical case-by-case basis. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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