Bacteriology of deep neck infections: analysis of 634 patients
Bacteriology of deep neck infections: analysis of 634 patients
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DOI：
10.1111/adj.12325
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发表时间：
2015-06-01
影响因子：
2.1
通讯作者：
Hoskova, T.
中科院分区：
文献类型：
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作者：
Celakovsky, P.;Kalfert, D.;Hoskova, T.
本研究的目的是回顾深部颈部感染(DNI)的细菌学，找出影响致病菌发生率的因素。方法对634例DNI患者进行回顾性分析。结果共分离出细菌514株(81%)。需氧菌246株(39%)，厌氧菌61株(10%)。207株(32%)分离出需氧菌和厌氧菌。最常见的需氧菌为化脓性链球菌(41%)和金黄色葡萄球菌(32%)。最常见的厌氧菌是消化链球菌(28%)，其次是普雷沃特拉菌(8%)和原杆菌(7%)。成人、牙源性感染和非糖尿病患者厌氧菌的发生率较高。结论DNI的细菌学为多菌型，既有需氧菌又有厌氧菌。厌氧菌在成人、牙源性感染患者和非糖尿病患者中的发生率较高。
BackgroundThe aim of this study was to review the bacteriology of deep neck infections (DNI) and identify the factors that influence the incidence of causative bacteria.MethodsA retrospective analysis of 634 patients with DNI was performed. Statistical analysis was used to compare the incidence of common pathogens in various conditions such as age of the patients, aetiology and associated diabetes mellitus.ResultsBacteria were isolated in 514 cultures (81%). Aerobic bacteria were isolated from 246 cultures (39%) and anaerobic bacteria from 61 cultures (10%). Both aerobic and anaerobic bacteria were isolated from 207 cultures (32%). The most common aerobic bacteria were Streptococcus pyogenes (41%) and Staphylococcus aureus (32%). The most common anaerobic bacteria were Peptostreptococcus species (28%), followed by Prevotela species (8%) and Proprionibacterium species (7%). The incidence of anaerobic bacteria was higher in adults, in patients with infections of dental origin and in non-diabetic patients.ConclusionsThe bacteriology of DNI is polymicrobial, including both aerobic and anaerobic bacteria. The incidence of anaerobic bacteria is higher in adults, in patients with infections of dental origin and in non-diabetic patients.