Oral and Maxillofacial Infections-A Bacterial and Clinical Cross-Section

The treatment of oral and maxillofacial infections is based on a recognized algorithm that may require modification under the influence of various local and systemic factors. The aim of this study was to present a comprehensive and microbiological profile of oral and maxillofacial infections, and ex...

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Published in:Journal of clinical medicine 2022-05, Vol.11 (10), p.2731
Main Authors: Kamiński, Bartłomiej, Błochowiak, Katarzyna, Kołomański, Konrad, Sikora, Maciej, Karwan, Sławomir, Chlubek, Dariusz
Format: Article
Language:English
Subjects:
Abscesses
Age
Airway management
Antibiotics
Bacteria
Bacterial infections
Blood
Clinical medicine
Diabetes
Dysphagia
Dyspnea
Hospitals
Infections
Laboratories
Medical records
Patients
Systemic diseases
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Summary:The treatment of oral and maxillofacial infections is based on a recognized algorithm that may require modification under the influence of various local and systemic factors. The aim of this study was to present a comprehensive and microbiological profile of oral and maxillofacial infections, and explore possible correlations between the course of an infection and selected systemic factors based on the medical records of 329 patients affected by the disease. We identified most common clinical, demographic, bacterial, and laboratory parameters specific for these infections. There were statistically significant differences in Erythrocyte Sedimentation Rate, number of accompanying diseases, otalgia, dyspnea, and speech difficulties occurrence and neck space involvement between diabetic and non-diabetic patients. The duration of hospitalization and accompanying diseases correlated positively with the patient age and white blood cell count, and C-reactive protein value negatively correlated with age. The primary cause of infections, age, and comorbid diseases can modify the infection course and increase the risk of developing serious complications. It confirms the need for effective and targeted bacterial treatment in the early stages of infections. Age and general diseases are the most important systemic factors determining the infection symptoms and laboratory parameters assessing the severity of the inflammatory process.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm11102731