Predisposing Factors and Etiology of Deep Neck Space Infections – A Hospital-based Cross-sectional Study

Background: Deep neck space infections (DNSI) are serious infections of the potential spaces of the neck. In developing countries, dental infections have been found to be the most common cause of these infections. The signs and symptoms depend on the neck space involved. Timely surgical drainage rem...

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Main Authors: Utkarsh Jain, Mahima Luthra, Sampan Singh Bist, Lovneesh Kumar, Vinish Kumar Agarwal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Public Health and Primary Care
Subjects:
Online Access:https://journals.lww.com/10.4103/jphpc.jphpc_21_24
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author Utkarsh Jain
Mahima Luthra
Sampan Singh Bist
Lovneesh Kumar
Vinish Kumar Agarwal
author_facet Utkarsh Jain
Mahima Luthra
Sampan Singh Bist
Lovneesh Kumar
Vinish Kumar Agarwal
author_sort Utkarsh Jain
collection DOAJ
description Background: Deep neck space infections (DNSI) are serious infections of the potential spaces of the neck. In developing countries, dental infections have been found to be the most common cause of these infections. The signs and symptoms depend on the neck space involved. Timely surgical drainage remains the main mode of treatment. This study aims to determine the predisposing factors and etiology responsible for these infections. Materials and Methods: This cross-sectional study of 1 year was conducted in a tertiary care teaching hospital setting and included 52 cases of clinically diagnosed DNSI. The clinico-demographic profile, microbiological profile, predisposing factors, and etiology of DNSI were recorded in all patients and analyzed. Results: The mean age was 43.46 ± 18.07 years. The male-to-female ratio was 1.7:1. The most common presenting complaint was cervicofacial/oropharyngeal swelling (100%). The most frequently involved neck space was submandibular space (56%). Poor oral hygiene (78.8%), anemia (65.3%), and diabetes mellitus (55.7%) were the common predisposing factors, respectively. Streptococcus group of organisms were found in majority of the cases (19%) and cephalosporin was the most sensitive drug (100%). Dental infection was observed as the most common etiological cause (67.3%). Conclusion: Primary health-care physician should be aware of the signs and symptoms of DNSI so that early detection and timely referral can be done to prevent life threatening complications. Regular health and dental checkups should be encouraged for decreasing the incidence of these infections.
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spelling doaj-art-8c7d5f29759f4efbaae6ea1c4e12770c2025-01-14T06:08:41ZengWolters Kluwer Medknow PublicationsJournal of Public Health and Primary Care2772-36662772-36742024-12-015314314810.4103/jphpc.jphpc_21_24Predisposing Factors and Etiology of Deep Neck Space Infections – A Hospital-based Cross-sectional StudyUtkarsh JainMahima LuthraSampan Singh BistLovneesh KumarVinish Kumar AgarwalBackground: Deep neck space infections (DNSI) are serious infections of the potential spaces of the neck. In developing countries, dental infections have been found to be the most common cause of these infections. The signs and symptoms depend on the neck space involved. Timely surgical drainage remains the main mode of treatment. This study aims to determine the predisposing factors and etiology responsible for these infections. Materials and Methods: This cross-sectional study of 1 year was conducted in a tertiary care teaching hospital setting and included 52 cases of clinically diagnosed DNSI. The clinico-demographic profile, microbiological profile, predisposing factors, and etiology of DNSI were recorded in all patients and analyzed. Results: The mean age was 43.46 ± 18.07 years. The male-to-female ratio was 1.7:1. The most common presenting complaint was cervicofacial/oropharyngeal swelling (100%). The most frequently involved neck space was submandibular space (56%). Poor oral hygiene (78.8%), anemia (65.3%), and diabetes mellitus (55.7%) were the common predisposing factors, respectively. Streptococcus group of organisms were found in majority of the cases (19%) and cephalosporin was the most sensitive drug (100%). Dental infection was observed as the most common etiological cause (67.3%). Conclusion: Primary health-care physician should be aware of the signs and symptoms of DNSI so that early detection and timely referral can be done to prevent life threatening complications. Regular health and dental checkups should be encouraged for decreasing the incidence of these infections.https://journals.lww.com/10.4103/jphpc.jphpc_21_24deep neck spacedentalpoor oral hygiene
spellingShingle Utkarsh Jain
Mahima Luthra
Sampan Singh Bist
Lovneesh Kumar
Vinish Kumar Agarwal
Predisposing Factors and Etiology of Deep Neck Space Infections – A Hospital-based Cross-sectional Study
Journal of Public Health and Primary Care
deep neck space
dental
poor oral hygiene
title Predisposing Factors and Etiology of Deep Neck Space Infections – A Hospital-based Cross-sectional Study
title_full Predisposing Factors and Etiology of Deep Neck Space Infections – A Hospital-based Cross-sectional Study
title_fullStr Predisposing Factors and Etiology of Deep Neck Space Infections – A Hospital-based Cross-sectional Study
title_full_unstemmed Predisposing Factors and Etiology of Deep Neck Space Infections – A Hospital-based Cross-sectional Study
title_short Predisposing Factors and Etiology of Deep Neck Space Infections – A Hospital-based Cross-sectional Study
title_sort predisposing factors and etiology of deep neck space infections a hospital based cross sectional study
topic deep neck space
dental
poor oral hygiene
url https://journals.lww.com/10.4103/jphpc.jphpc_21_24
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AT lovneeshkumar predisposingfactorsandetiologyofdeepneckspaceinfectionsahospitalbasedcrosssectionalstudy
AT vinishkumaragarwal predisposingfactorsandetiologyofdeepneckspaceinfectionsahospitalbasedcrosssectionalstudy