Cervical necrotizing fasciitis: 8-years’ experience of microbiology
| Autor: | Joaquim Mateo, Didier Payen, Béatrice Berçot, Alexandre Mebazaa, Philippe Herman, M. J. Sanson-Le Pors, F. Petitpas, Matthieu Resche-Rigon, Laurent Raskine, I. Farhat, Vincent Fihman, R. Kania, Jérôme Gravisse |
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| Rok vydání: | 2008 |
| Předmět: |
Microbiology (medical)
medicine.medical_specialty medicine.drug_class Antibiotics Prevotella Penicillins Dental plaque Microbiology Medical microbiology Antibiotic resistance stomatognathic system Bacteroidaceae Infections medicine Humans Fasciitis Necrotizing Fasciitis Focal Infection Dental business.industry Clindamycin Streptococcus milleri Group Pharyngeal Diseases General Medicine medicine.disease Penicillin stomatognathic diseases Infectious Diseases business Complication Streptococcus milleri medicine.drug |
| Zdroj: | European Journal of Clinical Microbiology & Infectious Diseases. 27:691-695 |
| ISSN: | 1435-4373 0934-9723 |
| DOI: | 10.1007/s10096-008-0491-9 |
| Popis: | Cervical necrotizing fasciitis (CNF) is a life-threatening complication of pharyngeal or dental infections. The aim of this paper was to investigate whether dental or pharyngeal source result from different pathogen(s) in CNF and whether antibiotics, given before admission, influence the antimicrobial resistance of pathogens. In 152 CNF patients, Streptococcus milleri group and Prevotella species were the predominant isolates, frequently copathogens, mostly in dental CNF samples. Penicillin and clindamycin resistance were observed in 39% and 37% of cases, respectively, independently of any previous antibiotic therapy. Thus, a combined aerobe-anaerobe infection may have a synergistic effect, which allows the infection to spread in cervical tissues. |
| Databáze: | OpenAIRE |
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