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Infecções cervicais profundas, casuística do serviço de otorrinolaringologia do Hospital Prof. Doutor Fernando Fonseca
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Autores
Orientador(es)
Resumo(s)
As infecções cervicais profundas constituem um verdadeiro
desafio clínico, permanecendo na actualidade um problema
relevante de saúde.
Objectivo: Análise estatística dos internamentos com
diagnóstico de celulite/abcesso cervical no Serviço de
Otorrinolaringologia do Hospital Prof. Doutor Fernando
Fonseca.
Material e métodos: Avaliação de processos clínicos referentes
a internamentos com o diagnóstico de entrada de celulite/
abcesso cervical, entre 2001-2011.
Resultados: Neste período foram internados 80 doentes com
média de idade de 44 anos. As infecções odontogénicas foram
responsáveis por 83,3% das etiologias detectadas. O tempo
médio de internamento foi de 8,72 dias. 94% dos doentes
foram medicados com antibioterapia de acção dupla e em
22,5% recorreu-se à drenagem cervical.
Conclusão: Ainda hoje as infecções cervicais profundas
constituem casos de gravidade acrescida, com índice de
mortalidade elevado. A infecção odontogénica constitui a sua
principal etiologia. A instituição de antibioterapia endovenosa
precoce e eventual drenagem cirúrgica são fundamentais no
tratamento desta condição.
Neck infections are a real clinical challenge, remaining at present an important health problem. Purpose: Statistical analysis of our experience with deep neck infections in the Otorhinolaryngology Department at Prof. Doutor Fernando Fonseca Hospital. Material and methods: Retrospective review of cases who were admitted as having deep neck infections, between 2001- 2011. Results: In this period 80 patients were admitted with an average age of 44 years. Odontogenic infections accounted for 83,3% of the detected causes. The average hospital stay was 8.72 days. 94% of patients were treated with double-acting antibiotics and 22.5% resorted to cervical drainage. Conclusion: Even today deep neck infections are a challenging condition, associated with a high mortality rate. Odontogenic infection is the main etiology. Early intravenous antibiotics and surgical drainage are essential in the treatment of deep neck infections.
Neck infections are a real clinical challenge, remaining at present an important health problem. Purpose: Statistical analysis of our experience with deep neck infections in the Otorhinolaryngology Department at Prof. Doutor Fernando Fonseca Hospital. Material and methods: Retrospective review of cases who were admitted as having deep neck infections, between 2001- 2011. Results: In this period 80 patients were admitted with an average age of 44 years. Odontogenic infections accounted for 83,3% of the detected causes. The average hospital stay was 8.72 days. 94% of patients were treated with double-acting antibiotics and 22.5% resorted to cervical drainage. Conclusion: Even today deep neck infections are a challenging condition, associated with a high mortality rate. Odontogenic infection is the main etiology. Early intravenous antibiotics and surgical drainage are essential in the treatment of deep neck infections.
Descrição
Palavras-chave
Infecções bacterianas Pescoço Hospital Prof. Dr. Fernando Fonseca, E.P.E.
Contexto Educativo
Citação
Rev Port Otorrinol Cirur Cerv Fac. 2015;53(3):161-165
Editora
Sociedade Portuguesa de Otorrinolaringologia e Cirurgia Cérvico-Facial