Deciphering Deep Neck Space Infections and its Management: A Case Series

Deep Neck Space Infections (DNSI), which affect the potential deep cervical spaces often have a rapid onset and given their life-threatening complications, pose a significant challenge. For the most part, these infections arise from local extension of infections from a septic foci which is mostly of odontogenic and periodontal origin. A case series of neck space infections, their presentation, management and recovery is presented here. Although Contrast-Enhanced Computed Tomography (CECT) scan has been touted as a routine investigation of deep neck infections, it is found that imaging by ultrasound saves time and resources and is of immense diagnostic value in localising and delineating the exact space involved and detecting impending complications so as to pre-empt it. Also, true to the maxim, “…never let the sun set on an undrained abscess”, surgical drainage on the first day even in stable cases followed by an empiric course of high dose broad spectrum antibiotics resulted in faster recovery

Surgical site infection rates in six cities of India: findings of the International Nosocomial Infection Control Consortium (INICC)

Surgical site infections are a threat to patient safety. However, in India, data on their rates stratified by surgical procedure are not available. From January 2005 to December 2011, the International Nosocomial Infection Control Consortium (INICC) conducted a cohort prospective surveillance study on surgical site infections in 10 hospitals in 6 Indian cities. CDC National Healthcare Safety Network (CDC-NHSN) methods were applied and surgical procedures were classified into 11 types, according to the ninth edition of the International Classification of Diseases. We documented 1189 surgical site infections, associated with 28 340 surgical procedures (4.2%; 95% CI: 4.0-4.4). Surgical site infections rates were compared with INICC and CDC-NHSN reports, respectively: 4.3% for coronary bypass with chest and donor incision (4.5% vs 2.9%); 8.3% for breast surgery (1.7% vs 2.3%); 6.5% for cardiac surgery (5.6% vs 1.3%); 6.0% for exploratory abdominal surgery (4.1% vs 2.0%), among others. In most types of surgical procedures, surgical site infections rates were higher than those reported by the CDC-NHSN, but similar to INICC. This study is an important advancement towards the knowledge of surgical site infections epidemiology in the participating Indian hospitals that will allow us to introduce targeted interventions

Proceedings of the 6th International Conference on Modeling and Simulation in Civil Engineering

This conference proceedings contains articles on the various research ideas of the academic community and technical researchers presented at the 6th International Conference on Modeling and Simulation in Civil Engineering (ICMSC 2022). ICMSC 2022 was organized by the Department of Civil Engineering, TKM College of Engineering, Kollam, Kerala, India on December 1-3, 2022. The main aim of this conference is to bring together leading academicians, researchers, technocrats, practitioners, and students to exchange and share their experiences and research outputs on all aspects of Civil Engineering, especially related to the modeling and simulation in Civil Engineering.  Conference Title: 6th International Conference on Modeling and Simulation in Civil EngineeringConference Acronym:  ICMSC 2022Conference Date: 1-3 December 2022Conference Location: IndiaConference Organizer: Department of Civil Engineering, TKM College of Engineering, Kollam, Kerala, Indi