Head and neck space infections in infants and children

KITIRAT UNGKANONT, ROBERT F. YELLON, Jane Weissman, MARGARETHA L. CASSELBRANT, HUGO GONZÁLEZ-VALDEPEÑA, CHARLES D. BLUESTONE

Research output: Contribution to journalArticle

142 Citations (Scopus)

Abstract

A retrospective study was performed in 117 children with head and neck space infections treated at the Children's Hospital of Pittsburgh from January 1986 through June 1992. Peritonsillar space infections were the most common (49%), followed by retropharyngeal (22%), submandibular (14%), buccal (11%), parapharyngeal (2%), and canine (2%) space infections. The most common pathogens isolated (N = 78) were the aerobes β-hemolytic streptococcus (18%) and Staphylococcus aureus (18%), the anaerobes Bacteroides melaninogenicus (17%) and Veillonella (14%), and the gram-negative organism Haemophilus parainfluenzae (14%). β-Lactamase production by aerobic pathogens was detected in 22% of cultures. Computed tomography scans (N = 16) were reviewed in blinded fashion and compared with operative findings. The sensitivity of computed tomography scan in detecting the presence of an abscess vs. cellulitis was high (91%), whereas the specificity was rather low (60%). Treatment of head and neck space infections in children should consist of accurate physical diagnosis aided by imaging studies, empiric antibiotic therapy that covers gram-negative and β-lactamase-producing organisms as well as gram-positive organisms and anaerobes, and timely surgical intervention, when indicated. (OTOLARYNGOL HEAD NECK SURG 1995;112:375-82.).

Original languageEnglish (US)
Pages (from-to)375-382
Number of pages8
JournalOtolaryngology - Head and Neck Surgery
Volume112
Issue number3
DOIs
StatePublished - 1995
Externally publishedYes

Fingerprint

Neck
Head
Infection
Prevotella melaninogenica
Haemophilus parainfluenzae
Veillonella
Tomography
Cellulitis
Cheek
Streptococcus
Abscess
Staphylococcus aureus
Canidae
Retrospective Studies
Anti-Bacterial Agents
Therapeutics

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

Cite this

UNGKANONT, KITIRAT., YELLON, ROBERT. F., Weissman, J., CASSELBRANT, MARGARETHA. L., GONZÁLEZ-VALDEPEÑA, HUGO., & BLUESTONE, CHARLES. D. (1995). Head and neck space infections in infants and children. Otolaryngology - Head and Neck Surgery, 112(3), 375-382. https://doi.org/10.1016/S0194-5998(95)70270-9

Head and neck space infections in infants and children. / UNGKANONT, KITIRAT; YELLON, ROBERT F.; Weissman, Jane; CASSELBRANT, MARGARETHA L.; GONZÁLEZ-VALDEPEÑA, HUGO; BLUESTONE, CHARLES D.

In: Otolaryngology - Head and Neck Surgery, Vol. 112, No. 3, 1995, p. 375-382.

Research output: Contribution to journalArticle

UNGKANONT, KITIRAT, YELLON, ROBERTF, Weissman, J, CASSELBRANT, MARGARETHAL, GONZÁLEZ-VALDEPEÑA, HUGO & BLUESTONE, CHARLESD 1995, 'Head and neck space infections in infants and children', Otolaryngology - Head and Neck Surgery, vol. 112, no. 3, pp. 375-382. https://doi.org/10.1016/S0194-5998(95)70270-9
UNGKANONT KITIRAT, YELLON ROBERTF, Weissman J, CASSELBRANT MARGARETHAL, GONZÁLEZ-VALDEPEÑA HUGO, BLUESTONE CHARLESD. Head and neck space infections in infants and children. Otolaryngology - Head and Neck Surgery. 1995;112(3):375-382. https://doi.org/10.1016/S0194-5998(95)70270-9
UNGKANONT, KITIRAT ; YELLON, ROBERT F. ; Weissman, Jane ; CASSELBRANT, MARGARETHA L. ; GONZÁLEZ-VALDEPEÑA, HUGO ; BLUESTONE, CHARLES D. / Head and neck space infections in infants and children. In: Otolaryngology - Head and Neck Surgery. 1995 ; Vol. 112, No. 3. pp. 375-382.
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