Nursing Diagnosis and Nursing Intervention

Retropharyngeal Abscess Prevention and Treatment

Retropharyngeal abscess Prevention and Treatment

Definition of retropharyngeal abscess

Retrofaringeal abscess is a pus accumulation in the back of the throat tissues.

Cause of retropharyngeal abscess
  • Abscesses are usually caused by streptococcal infection from the tonsils, throat, sinuses, adenoids, nasal or middle ear.
  • Sometimes an injury to the back of the throat caused by thorn fish can also cause abscesses retrofaringeal.
  • Although rare, retrofaringel abscess can also be caused by tuberculosis.
  • Retrofaringeal abscess usually affects children aged less than 5 years.
  • Networking on the back of the throat allows the formation of children's cavity containing pus (which this does not occur in adults).
  • Infection in these areas can occur during or shortly after by a bacterial throat infection.

Symptoms of retropharyngeal abscess

Symptoms include:
  • History of sore throat, nasal infection or tooth abscess
  • High fever
  • Severe sore throat
  • Swollen neck lymph nodes
  • Difficulty swallowing
  • Salivating
  • Respiratory Disorders
  • Intercostal retraction (withdrawal of muscles between the ribs when people try so hard to breathe)
  • Stridor (harsh breathing sound).

Complications of retropharyngeal abscess
  • Bleeding around the abscess
  • Rupture of the abscess into the airways (which can cause airway obstruction)
  • Pneumonia
  • The spread of infection to the chest.
Diagnosis of retropharyngeal abscess
  • Diagnosis is based on symptoms and physical examination.
  • X-rays or a CT scan of the neck showed a cavity containing pus between the throat and cervical spine.
  • Blood tests showed an increase in the number of white blood cells.
  • Breeding throat mucus can indicate the presence of the causative organism.

Treatment of retropharyngeal abscess
  • To overcome infection drainage surgery (to remove the pus) and high doses of antibiotics given intravenously.

Prevention of retropharyngeal abscess
  • Diagnosis and treatment in pharyngitis and nasopharyngeal infection usually can prevent abscess retrofaringeal.
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