A study of head and neck space infections and their sensitivity pattern at tertiary care hospital

Authors

  • Simmi Jindal Department of Otorhinolaryngology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India
  • Suchina Parmar Department of Otorhinolaryngology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India http://orcid.org/0000-0003-1415-9445
  • Jailal Davessar Department of Otorhinolaryngology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India
  • A. G. S. Bawa Department of Otorhinolaryngology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India
  • Gurbax Singh Department of Otorhinolaryngology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India
  • Sumit Prinja Department of Otorhinolaryngology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India
  • Alisha Bali Department of Otorhinolaryngology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20185307

Keywords:

Head and neck space infections, Microorganisms, Culture sensitivity, Antibiotic sensitivity and resistance

Abstract

Background: Head and neck space infections including submandibular, buccal, diffuse neck space, peritonsillar, parapharyngeal, parotid, submental, retropharyngeal, result in frequent hospital visits. Infection can be mild or severe life threatening infection.

Methods: 40 patients with head and neck space infections were considered. Pus samples were collected with aseptic precautions and sent to department of microbiology for culture and antibiotic sensitivity.  

Results: The most common head and neck space infections are submandibular followed by buccal, diffuse neck abscess, peritonsillar, parapharyngeal, parotid, submental and retropharyngeal. Incidence of aerobic growth is 60%, fungal 10%, anaerobic 7.5%, tubercular 7.5% and no growth 15%. Predominant aerobes are Staphylococcus aureus, Pseudomonas aeruginosa, Methicillin Resistant Staphlococcus aureus, Klebsiella species and anaerobes are Peptostreptococcus and bacteroides and fungal species is Candida. Aerobic organism showed maximum sensitivity to Amikacin, Vancomycin, Linezolid, Piperacillin+Tazobactum, Clindamycin, Erythromycin, Cefoperazone, Ceftriaxone and maximum resistant to Levofloxacin, Cefoperazone, Ceftriaxone, Meropenem. Anaerobic bacteria showed sensitivity to Clindamycin, Metronidazole and Colistin and resistance to Vancomycin.

Conclusions: Bacteriological examination and culture of head and neck abscesses helps to identify causative organisms. It helps to isolate even rarest of organisms and by knowing their sensitivity pattern we can detect specific therapy against them. Thus it helps in more effective treatment and fast recovery.

Author Biographies

Simmi Jindal, Department of Otorhinolaryngology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India

2nd year pg resident , department of otorhinolaryngology.

Suchina Parmar, Department of Otorhinolaryngology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India

senior resident ,department of otorhinolaryngology.

Jailal Davessar, Department of Otorhinolaryngology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India

professor and head of department,department of otorhinolaryngology.

A. G. S. Bawa, Department of Otorhinolaryngology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India

associate professor ,department of otorhinolaryngology.

Gurbax Singh, Department of Otorhinolaryngology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India

associate professor,department of otorhinolaryngology.

Sumit Prinja, Department of Otorhinolaryngology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India

assistant professor,department of otorhinolaryngology.

Alisha Bali, Department of Otorhinolaryngology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India

2nd year pg resident,department of otorhinolaryngology.

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Published

2018-12-25

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Original Research Articles