Scholarlink

Introduction <p>Parotid abscess is an acute life-threatening condition following parotitis or suppurative lymphadenitis. Risk factors include dental infection, immunosuppression or decreased salivation. It can spread to deep neck spaces by cellulitis and salivary microbial action. Antibiotic resistance, anaerobic infection and difficult delineation on imaging make management challenging.&#xa0;Accurate clinical judgement, imaging and early intervention are lifesaving. Integration of microbial profile, comorbidities, extent of abscess and time of presentation can guide management.&#xa0;This study aimed to correlate clinical and microbiological risk factors with outcome of treatment in parotid abscess in adults.</p> Objectives <p>To correlate demographic profile, risk factors, extent of involvement and co-morbidities with outcome of treatment in parotid abscess in adults.&#xa0;To determine microbiological profile and sensitivity pattern in parotid abscess.&#xa0;To correlate duration of hospitalization, complications and tracheostomy requirement with extent of parotid abscess.</p> Methodology <p>This retrospective analytical study, included 94 adult patients treated surgically for parotid abscess. The demographic details of patients, extent of involvement and time for incision and drainage and co-morbidities were documented and correlated with duration of hospitalization, complications and recurrence.&#xa0;There was statistically significant correlation between delayed presentation, diabetes mellitus and dental infection with adverse outcomes like deep neck space involvement, prolonged hospitalization, recurrence, and death. Staphylococcus aureus was the most common pathogen followed by Klebsiella and E-coli.</p> Conclusion <p>Management of adult parotid abscess is challenging. Dental infection and diabetes mellitus are significant risk factors and can have adverse outcomes. Early surgical intervention and accurate antibiotic cover improve outcomes.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Correlation of Risk Factors With Outcome of Treatment in Parotid Abscess in Adults: A Retrospective Analytical Study

  • 期刊论文

  • 发表日期：

    2026年6月22日

查看全文
  • Gayathri Adusumalli,
  • S.M. Azeem Mohiyuddin,
  • A. Sagayaraj,
  • Kouser Mohammadi,
  • Aravind Natarajan

摘要

Introduction

Parotid abscess is an acute life-threatening condition following parotitis or suppurative lymphadenitis. Risk factors include dental infection, immunosuppression or decreased salivation. It can spread to deep neck spaces by cellulitis and salivary microbial action. Antibiotic resistance, anaerobic infection and difficult delineation on imaging make management challenging. Accurate clinical judgement, imaging and early intervention are lifesaving. Integration of microbial profile, comorbidities, extent of abscess and time of presentation can guide management. This study aimed to correlate clinical and microbiological risk factors with outcome of treatment in parotid abscess in adults.

Objectives

To correlate demographic profile, risk factors, extent of involvement and co-morbidities with outcome of treatment in parotid abscess in adults. To determine microbiological profile and sensitivity pattern in parotid abscess. To correlate duration of hospitalization, complications and tracheostomy requirement with extent of parotid abscess.

Methodology

This retrospective analytical study, included 94 adult patients treated surgically for parotid abscess. The demographic details of patients, extent of involvement and time for incision and drainage and co-morbidities were documented and correlated with duration of hospitalization, complications and recurrence. There was statistically significant correlation between delayed presentation, diabetes mellitus and dental infection with adverse outcomes like deep neck space involvement, prolonged hospitalization, recurrence, and death. Staphylococcus aureus was the most common pathogen followed by Klebsiella and E-coli.

Conclusion

Management of adult parotid abscess is challenging. Dental infection and diabetes mellitus are significant risk factors and can have adverse outcomes. Early surgical intervention and accurate antibiotic cover improve outcomes.