Mapping the risk factors, pathogens, and antibiotic of pharyngocutaneous fistula in patients after neck open surgery.
Weili KongManlin ChenHailing GuYinze HanYuanzhi LiuXiaoyan XiaHui YangPublished in: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery (2024)
Special attention should be given to patients undergoing open neck surgery, especially those with intraoperative flap reconstruction, a history of preoperative radiotherapy, postoperative bleeding, or diabetes. Strengthening monitoring and care is crucial in preventing the occurrence of PCF. According to antibiotic usage guidelines and considering the distribution of pathogens in PCF patients, empirical antibiotic treatment with cefoperazone/sulbactam or ticarcillin/clavulanic acid is recommended prior to obtaining susceptibility test results.
Keyphrases
- patients undergoing
- minimally invasive
- end stage renal disease
- chronic kidney disease
- risk factors
- ejection fraction
- newly diagnosed
- healthcare
- cardiovascular disease
- prognostic factors
- early stage
- squamous cell carcinoma
- risk assessment
- radiation therapy
- mass spectrometry
- gram negative
- pain management
- quality improvement
- drug resistant
- chronic pain
- rectal cancer