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Trial registered on ANZCTR
Registration number
ACTRN12613000482763
Ethics application status
Approved
Date submitted
21/04/2013
Date registered
30/04/2013
Date last updated
30/04/2013
Type of registration
Retrospectively registered
Titles & IDs
Public title
Deep neck infection in China
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Scientific title
The demographics, etiology, bacteriology, disease comorbidity, imaging, treatment, complications and prognosis of deep neck infection in China.
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Secondary ID [1]
282221
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
deep neck infection
288956
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Condition category
Condition code
Infection
289289
289289
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0
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Other infectious diseases
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Inflammatory and Immune System
289290
289290
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0
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Deep neck infection is defined as infection in the potential spaces and fascial planes of the neck. Although the incidence of deep neck infection has decreased significantly with the wide use of antibiotics, this condition is still common and present a constant challenge as it may lead to lethal complications such as descending mediastinitis, airway obstruction, jugular vein thrombosis, pericarditis, pleural empyema and arterial erosion. The diagnosis was confirmed by clinical symptoms, imaging studies, needle aspiration, and surgery. 130 patients diagnosed as deep neck infection in our hospital were observed,and their demographics, etiology, bacteriology, disease comorbidity, imaging, treatment, complications and prognosis were analysed. The patients were observed since they got hospitalization till they were discharged from hospital after recovery or died.
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Intervention code [1]
287006
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Not applicable
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Comparator / control treatment
NA - This is an observational study
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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The patients who were diagnosed as deep neck infection, and the primary outcome was observation of their demographics (age and gender).
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Assessment method [1]
289400
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Timepoint [1]
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At baseline
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Primary outcome [2]
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The patients who were diagnosed as deep neck infection, and the primary outcome was to find out if the deep neck infection patients had systemic diseases. The outcome was assessed by checking the medical records.
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Assessment method [2]
289412
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Timepoint [2]
289412
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At baseline
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Primary outcome [3]
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The patients who were diagnosed as deep neck infection, and the primary outcome was observation of their complications. We reviewed the patients' medical records to confirm if the patients have complications such as descending mediastinitis, airway obstruction, jugular vein thrombosis, pericarditis, pleural empyema and arterial erosion.
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Assessment method [3]
289413
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Timepoint [3]
289413
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At baseline
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Secondary outcome [1]
302452
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The patients who were diagnosed as deep neck infection, and the secondary outcome was observation of their hospitalization time. We reviewed the patients' medical records to count the hospitalization time of the patients.
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Assessment method [1]
302452
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Timepoint [1]
302452
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At baseline
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Eligibility
Key inclusion criteria
The diagnosis of patient's deep neck infection was confirmed by clinical manifestation, imaging studies, needle aspiration, or surgery.
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Minimum age
1
Days
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Maximum age
82
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Cases of superficial infections, limited intraoral abscesses, peritonsillar abscesses, cervical necrotizing fasciitis, and infections secondary to penetrating or surgical neck trauma were excluded.
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Retrospective
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Statistical methods / analysis
t-test and chi-square test.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
8/08/2012
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Actual
8/08/2012
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Date of last participant enrolment
Anticipated
31/12/2012
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Actual
31/12/2012
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
130
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
5038
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China
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State/province [1]
5038
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Guangdong
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Funding & Sponsors
Funding source category [1]
287144
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Government body
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Name [1]
287144
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National Natural Science Foundation of China
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Address [1]
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Zhong shan 2nd Road 58,
Guangzhou 510080
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Country [1]
287144
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China
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Primary sponsor type
Individual
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Name
Wenbin Lei
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Address
Zhong shan 2nd Road 58,
Guangzhou 510080
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Country
China
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Secondary sponsor category [1]
285912
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Individual
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Name [1]
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Weiping Wen
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Address [1]
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Zhong shan 2nd Road 58,
Guangzhou 510080
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Country [1]
285912
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China
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
289143
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Institutional Review Board of the First Affiliated Hospital of Sun Yat-sen University
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Ethics committee address [1]
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Zhong shan 2nd Road 58, Guangzhou 510080.
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Ethics committee country [1]
289143
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China
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Date submitted for ethics approval [1]
289143
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Approval date [1]
289143
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Ethics approval number [1]
289143
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Summary
Brief summary
Background: The study aims to summarize our experience of deep neck infection and compare with cases ever reported as well as to estimate incidence trends in China. Methods: Patients diagnosed as deep neck infection in the Division of Otolaryngology in the first Affiliated Hospital of Sun Yat-sen University from 2001 to 2011 were screened retrospectively for demographics, etiology, bacteriology, disease comorbidity, imaging, treatment, complications, duration of hospitalization, and outcomes. Results: A total number of 130 patients were enrolled (60.8% male, 39.2% female). Average age was 32.9 +/- 22.8 years. 47 (36.2%) were under 20 years old. 45 were children (< 18 years of age). 27 patients (20.8%) had associated disease, 63.0% (17/27) of them had diabetes mellitus (DM). The parapharyngeal space (29.6%) was the most common involved space and 26.2% of patients had two or more involved spaces. Pharyngeal infections and odontogenic infections were the top two most common causes of deep neck infection (36.2% and 27.6% of the known causes, respectively). The etiology remained unknown in 72 patients (55.4%). Streptococcus viridians (49.0%) was the most common pathogen in this study. 86 (66.2%) patients underwent surgical drainage. 9 of 31 patients (23.8%) who had complications received either tracheotomy or intubation. 1 (mortality rate, 0.8%) died of sepsis and multiple organ dysfunction syndrome (MODS). Conclusion: High level of drug-resistance makes deep neck infection unusual and complicated because it may make children predisposed for deep neck infection in China. Cervicothoracic contrast-enhanced CT scans are necessary for deep neck infection patients caused by cervical foreign body because they are easier to get descending mediastinitis. Needle aspiration and high dose intravenous antibiotics are sufficient in selected cases with good response to antibiotics, small abscess and no lethal complications.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Wenbin Lei
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Address
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Otorhinolaryngology Hospital, the First Affiliated Hospial, Sun Yat-Sen University,Zhong shan 2nd Road 58, Guangzhou 510080,
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Country
38874
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China
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Phone
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+86-20-87333733
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Fax
38874
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+86-20-87333733
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Email
38874
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[email protected]
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Contact person for public queries
Name
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Weiqiang Yang
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Address
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Otorhinolaryngology Hospital, the First Affiliated Hospial, Sun Yat-Sen University,Zhong shan 2nd Road 58, Guangzhou 510080,
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Country
38875
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China
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Phone
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+86-20-87333733
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Fax
38875
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+86-20-87333733
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Email
38875
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[email protected]
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Contact person for scientific queries
Name
38876
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Weiqiang Yang
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Address
38876
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Otorhinolaryngology Hospital, the First Affiliated Hospial, Sun Yat-Sen University,Zhong shan 2nd Road 58, Guangzhou 510080
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Country
38876
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China
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Phone
38876
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+86-20-87333733
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Fax
38876
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+86-20-87333733
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Email
38876
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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