Background: Deep neck infections (DNIs) can compromise the airway and are associated with high morbidity and mortality rates. Diabetes mellitus (DM) is a metabolic disorder characterized by chronic hyperglycemia that is associated with several comorbidities. We compared the clinical characteristics of DNI patients with and without DM.
Methods: This study recorded the relevant clinical variables of 383 patients with DNIs between November 2016 and September 2022; of those patients, 147 (38.38%) had DM. The clinical factors between DNI patients with and without DM were assessed.
Results: Patients with DM were older ( < 0.001), had higher white blood cell counts ( = 0.029) and C-reactive protein levels (CRP, < 0.001), had a greater number of deep neck spaces ( = 0.002) compared to patients without DM, and had longer hospital stays ( < 0.001). was cultured more frequently from patients with DM than those without DM ( = 0.002). A higher CRP level (OR = 1.0094, 95% CI: 1.0047-1.0142, < 0.001) was a significant independent risk factor for DM patients with prolonged hospitalization. The lengths of hospital stays in patients with poorly controlled DM were longer than those with well-controlled DM ( = 0.027).
Conclusions: DNI disease severity and outcomes were worse in patients with DM than those without DM. Antibiotics effective against should be used for DNI patients with DM. DNI patients with DM and high CRP levels had more prolonged hospitalizations. Appropriate blood glucose control is essential for DNI patients with DM.
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http://dx.doi.org/10.3390/healthcare12141383 | DOI Listing |
J Infect Dev Ctries
November 2024
Department of Rheumatology and Immunology, Affiliated SanMing Frist Hospital of Fujian Medical University, SanMing, Fujian 365000, China.
Cureus
November 2024
Geriatrics, Saint Barnabas Hospital Health System, New York, USA.
(recently renamed ) is an uncommon pathogen in pleural infections and empyema, typically associated with nosocomial urinary and gastrointestinal infections. This case report describes a 69-year-old male patient with chronic kidney disease, diabetes mellitus, and other comorbidities, who developed empyema despite broad-spectrum antibiotics. Pleural fluid cultures revealed , known for its ability to develop resistance through beta-lactamase production and efflux pumps, which complicates treatment.
View Article and Find Full Text PDFBMC Cancer
November 2024
Department of Public Health Sciences, University of Chicago Medical Center, Chicago, IL, USA.
Acta Otolaryngol
December 2024
Department of Otolaryngology and Head and Neck Surgery, Iwate Medical University School of Medicine, Yahaba, Japan.
Background: Deep neck infections (DNIs) in the cervical fascial planes can cause severe complications such as airway obstruction, mediastinitis, and sepsis.
Aims/objectives: This study examines cervical abscess development, its relationship with postoperative swallowing function, and hospital stay duration.
Material And Methods: A retrospective case series of 55 DNI patients was divided by hospital stay (<30 days: Group A, ≥30 days: Group B) and swallowing recovery (<6 days: Group C, ≥6 days: Group D).
Am J Hosp Palliat Care
January 2025
Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Navigating medical care at the end of life can be a challenging experience for patients. There are also significant resource burdens, including intensive care unit (ICU) admissions, accompanying terminal illness. For actively dying patients, developing a care plan based on patient goals and delivering care at the bedside can enhance patient well-being, avoid inappropriate transfers or interventions, and improve resource management.
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