https://he01.tci-thaijo.org/index.php/LMJ/issue/feed 2024-12-16T10:38:10+07:00 อนุวัตร พงษ์คุณากร dranuwat@hotmail.com Open Journal Systems <p><span data-sheets-value="{&quot;1&quot;:2,&quot;2&quot;:&quot;Lampang Medical Journal is biannual peer reviewed scientific journal published by Lampang Hospital. Aims to publish original research article, review article, case report, clinical study and medical innovation.&quot;}" data-sheets-userformat="{&quot;2&quot;:513,&quot;3&quot;:{&quot;1&quot;:0},&quot;12&quot;:0}">Lampang Medical Journal is biannual peer reviewed scientific journal published by Lampang Hospital. Aims to publish original research article, review article, case report, clinical study and medical innovation.</span></p> https://he01.tci-thaijo.org/index.php/LMJ/article/view/271702 2024-09-12T09:34:47+07:00 Sasipim Boonpeng praew.7676@gmail.com

<p><strong>Background</strong>: Deep neck infection (DNI) is a critical condition characterized by infection in the potential spaces within the deep layers of the neck. Early diagnosis and treatment are essential to minimize the risk of severe and life-threatening complications.<br /><strong>Objective</strong>: To explore the epidemiology, complications, and factors related to complications in patients with DNI treated at Lampang Hospital.<br /><strong>Material and methods:</strong> An analytic cross-sectional study was conducted on in-patients diagnosed with DNI at the Otorhinolaryngology Department, Lampang Hospital, between January 1, 2021, and December 31, 2023. Data were extracted from medical records, covering demographic, clinical, and complication-related information. Regression analysis was utilized to identify factors associated with complications.<br /><strong>Results</strong>: A total of 267 patients were included, with a male predominance (57.3%) and a mean age of 51.9 ± 17.4 years. Neck or facial swelling (64.1%) was the leading symptom. The submandibular space was the most commonly affected site (39.0%), and dental infections were identified as the primary source (52.8%). Klebsiella pneumoniae was the most frequently isolated pathogen (7.5%). The main treatment method was surgical drainage (80.5%), followed by antimicrobial therapy alone (10.1%) and needle aspiration (9.4%). Complications occurred in 43 patients (16.1%), with septicemia being the most frequent (8.6%). There were seven fatalities (2.6%). Significant factors associated with complications were chronic kidney disease (OR 8.36, 95%CI 2.31–30.29, p=0.001), anemia (OR 3.62, 95% CI 1.05–12.44, p=0.041), dyspnea (OR 6.89, 95%CI 1.71–27.74, p=0.007), multiple space infections (OR 6.14, 95%CI 2.10–17.94, p=0.001), and retropharyngeal space infection (OR 3.77, 95%CI 1.23–11.52, p=0.020).<br /><strong>Conclusion</strong>: The study found a complication rate of 16.1% among DNI patients. Chronic kidney disease, anemia, dyspnea, multiple space infections, and retropharyngeal space infections were significantly associated with increased risk of complications.</p>

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