Clinical and bacteriological influence of diabetes mellitus on deep neck infection: Systematic review and meta-analysis

被引：48

作者：

Hidaka, Hiroshi ^{[1
]}

Yamaguchi, Takuhiro ^{[2
]}

Hasegawa, Jun ^{[1
]}

Yano, Hisakazu ^{[3
]}

Kakuta, Risako ^{[1
,3
]}

Ozawa, Daiki ^{[1
,3
]}

Nomura, Kazuhiro ^{[1
]}

Katori, Yukio ^{[1
]}

机构：

[1] Tohoku Univ, Grad Sch Med, Dept Otolaryngol Head & Neck Surg, Sendai, Miyagi 9808575, Japan

[2] Tohoku Univ, Grad Sch Med, Div Biostat, Sendai, Miyagi 9808575, Japan

[3] Tohoku Univ, Grad Sch Med, Dept Infect Control & Lab Diagnost, Internal Med, Sendai, Miyagi 9808575, Japan

来源：

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2015年 / 37卷 / 10期

关键词：

deep neck infections; diabetes mellitus; complications; systematic review; meta-analysis; SEVERE MULTISPACE INFECTIONS; SPACE INFECTIONS; PREDISPOSING FACTORS; HEAD; MANAGEMENT; IDENTIFICATION; EXPERIENCE; ABSCESS;

D O I：

10.1002/hed.23776

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Background. Diabetes mellitus has been recognized as the most common systemic disease associated with deep neck infection. We report the first systematic review and meta-analysis of the influence of diabetes on clinical and bacteriological characteristics of deep neck infection. Methods. Articles were retrieved from PubMed, EMBASE, and the Japan Medical Abstracts Society database. A critical review of 227 studies identified 20 studies eligible for quantitative synthesis. Results. Diabetes was associated with higher prevalences of multispace spread of infection, complications, and failure to identify pathogenesis, with risk ratios (RRs) of 1.96, 2.42, and 1.29, respectively. Bacteriologically, patients with diabetes showed a higher prevalence of culture identification of Klebsiella pneumoniae (RR, 3.28), and lower prevalences of Streptococcus spp. (RR, 0.57) and anaerobes (RR, 0.54). Conclusion. Deep neck infection with diabetes differs from that without in several clinical aspects. Again, bacteriological differences imply that diabetic infections might be populated by different bacterial flora. (C) 2014 Wiley Periodicals, Inc.

引用

页码：1536 / 1546

页数：11

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