• Kendrick Klaudius Hartedja Fakultas Kedokteran dan Ilmu Kesehatan Unika Atma Jaya
  • Ricky Yue Departemen Ilmu Penyakit Telinga Hidung dan Tenggorokan, Fakultas Kedokteran dan Ilmu Kesehatan Unika Atma Jaya,
  • Lucky H. Moehario Departemen Mikrobiologi, Fakultas Kedokteran dan Ilmu Kesehatan Unika Atma Jaya
Keywords: Deep neck abscess, peritonsillar abscess, submandibular abscess, Ludwig angina


Introduction: Deep neck abscess is a pus accumulation in the space and tissue of the cervical fascia caused by an infection and has the potential for several complications. Appropriate use of antibiotics can prevent these complications, but long culture time has been a main concern. Diabetes and oral hygiene are identified as commonly found risk factors for deep neck abscess. This study aims to analyze patients’ characteristics and the usage of antibiotics in treating deep neck abscess patients in Atma Jaya Hospital as well as assessing the effect of diabetes and oral hygiene as the causes for deep neck abscess.

Methods: This was a cohort retrospective, descriptive analytic study. The samples were from 23 deep neck abscess patients undergoing treatment in Atma Jaya Hospital and met the inclusion and exclusion criteria. Chi square and Fisher exact test were used to determine the significance effect of diabetes and higiene oral in relation to deep neck abscess.

Results: There were more male patients than female patients with age range 20-30 years old. Streptococcus viridans and Streptococcus pyogenes were the most common bacteria causing deep neck abscesses. Metronidazole, gentamicin and ceftriaxone were the most widely used antibiotics and it had shown great compatibility to fight against germs found in this disease. Statistical test results on the effect of oral hygiene oral to submandibular abscesses, peritonsillar, and Ludwig’s angina were p(AS)=0.605, p(AP)=1.000, and p(LA)=1.000, while of diabetes were p(AS)=0.685, p(AP)=0.657, and p(LA)=1.000.

Conclusion: Deep neck abscess tends to occur in male patients of productive age. Metronidazole, gentamicin and ceftriaxone were the recommended empiric antibiotics. There was no significant relationship between oral hygiene and diabetes on the occurrence of deep neck abscesses.


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Rijal S, Romdhoni AC. Bacteria Pattern, Results of Antibiotic Sensitivity Test, and Complications of Deep Neck Abscess Patients in Dr. Soetomo General Hospital. Biomol Health Sci J. 2018 Nov 26;1(2):124.

Marioni G, Rinaldi R, Staffieri C, Marchese-Ragona R, Saia G, Stramare R, et al. Deep neck infection with dental origin: analysis of 85 consecutive cases (2000–2006). Acta Otolaryngol (Stockh). 2008 Jan;128(2):201–6.

Sakarya EU. Clinical features of deep neck infection: analysis of 77 patients. Turk J Ear Nose Throat. 2015 May 15;25(2):102–8.

Adil E, Tarshish Y, Roberson D, Jang J, Licameli G, Kenna M. The Public Health Impact of Pediatric Deep Neck Space Infections. Otolaryngol Neck Surg. 2015 Dec;153(6):1036–41.

Huang T-T, Liu T-C, Chen P-R, Tseng F-Y, Yeh T-H, Chen Y-S. Deep neck infection: Analysis of 185 cases. Head Neck. 2004 Oct;26(10):854–60.

Hasegawa J, Hidaka H, Tateda M, Kudo T, Sagai S, Miyazaki M, et al. An analysis of clinical risk factors of deep neck infection. Auris Nasus Larynx. 2011 Feb;38(1):101–7.

Lin H-T, Tsai C-SS, Chen Y-L, Liang J-G. Influence of diabetes mellitus on deep neck infection. J Laryngol Otol. 2006 Aug;120(08).

Adoviča A, Veidere L, Ronis M, Sumeraga G. Deep neck infections: review of 263 cases. Otolaryngol Pol. 2017 Oct 30;71(5):37–42.

Bottin R, Marioni G, Rinaldi R, Boninsegna M, Salvadori L, Staffieri A. Deep neck infection: a present-day complication. A retrospective review of 83 cases (1998-2001). Eur Arch Otorhinolaryngol. 2003 Nov 1;260(10):576–9.

Brito TP, Hazboun IM, Fernandes FL, Bento LR, Zappelini CEM, Chone CT, et al. Deep neck abscesses: study of 101 cases. Braz J Otorhinolaryngol. 2017 May;83(3):341–8.

Srivanitchapoom C, Sittitrai P, Pattarasakulchai T, Tananuvat R. Deep neck infection in Northern Thailand. Eur Arch Otorhinolaryngol. 2012 Jan;269(1):241–6.

Daramola OO, Flanagan CE, Maisel RH, Odland RM. Diagnosis and treatment of deep neck space abscesses. Otolaryngol Neck Surg. 2009 Jul;141(1):123–30.

Yang S-W. Deep neck abscess: an analysis of microbial etiology and the effectiveness of antibiotics. Infect Drug Resist. 2008 Jul;1.

Arianto DR, Romdhoni AC. Pola Kuman, Hasil Uji Sensitivitas Antibiotik dan Komplikasi Abses Leher dalam di RSUD DR. Soetomo. J Ilm Kedokt Wijaya Kusuma. 2019 Apr 17;8(1):88.

Rahman S. Diagnosis dan Penatalaksanaan Abses Leher Dalam. 2013.

Chen MK, Wen YS, Chang CC, Huang MT, Hsiao HC. Predisposing factors of life-threatening deep neck infection: logistic regression analysis of 214 cases. J Otolaryngol. 1998 Jun;27(3):141–4.

Lee J-K, Kim H-D, Lim S-C. Predisposing Factors of Complicated Deep Neck Infection: An Analysis of 158 Cases. Yonsei Med J. 2007;48(1):55.
How to Cite
Hartedja K, Yue R, Moehario LH. MICROBE PATTERN AND RISK FACTORS OF DEEP NECK ABSCESS PATIENTS IN ATMA JAYA HOSPITAL [Internet]. Damianus Journal of Medicine [Internet]. 31May2021 [cited 24Oct.2021];20(1):26 -32. Available from: http://ejournal.atmajaya.ac.id/index.php/damianus/article/view/1734
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