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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Language: | English |
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MDPI AG
2022-05-01
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author | Bartłomiej Kamiński Katarzyna Błochowiak Konrad Kołomański Maciej Sikora Sławomir Karwan Dariusz Chlubek |
author_facet | Bartłomiej Kamiński Katarzyna Błochowiak Konrad Kołomański Maciej Sikora Sławomir Karwan Dariusz Chlubek |
author_sort | Bartłomiej Kamiński |
collection | DOAJ |
description | 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. |
first_indexed | 2024-03-10T03:40:54Z |
format | Article |
id | doaj.art-cea2ad3a0e28466891fb62492f8f7cce |
institution | Directory Open Access Journal |
issn | 2077-0383 |
language | English |
last_indexed | 2024-03-10T03:40:54Z |
publishDate | 2022-05-01 |
publisher | MDPI AG |
record_format | Article |
series | Journal of Clinical Medicine |
spelling | doaj.art-cea2ad3a0e28466891fb62492f8f7cce2023-11-23T11:33:55ZengMDPI AGJournal of Clinical Medicine2077-03832022-05-011110273110.3390/jcm11102731Oral and Maxillofacial Infections—A Bacterial and Clinical Cross-SectionBartłomiej Kamiński0Katarzyna Błochowiak1Konrad Kołomański2Maciej Sikora3Sławomir Karwan4Dariusz Chlubek5Department of Otolaryngology, Maria Skłodowska-Curie District Hospital, 26-110 Skarżysko-Kamienna, PolandDepartment of Oral Surgery and Periodontology, Poznan University of Medical Sciences, 61-701 Poznan, PolandDepartment of Maxillofacial Surgery, Hospital of the Ministry of Interior, 25-375 Kielce, PolandDepartment of Maxillofacial Surgery, Hospital of the Ministry of Interior, 25-375 Kielce, PolandDepartment of Maxillofacial Surgery, Regional Specialized Children’s Hospital, 10-561 Olsztyn, PolandDepartment of Biochemistry and Medical Chemistry, Pomeranian Medical University, 70-111 Szczecin, PolandThe 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.https://www.mdpi.com/2077-0383/11/10/2731oral and maxillofacial infectionsodontogenic infectionsperitonsillar abscessesdeep neck infectionsantibioticsbacteria |
spellingShingle | Bartłomiej Kamiński Katarzyna Błochowiak Konrad Kołomański Maciej Sikora Sławomir Karwan Dariusz Chlubek Oral and Maxillofacial Infections—A Bacterial and Clinical Cross-Section Journal of Clinical Medicine oral and maxillofacial infections odontogenic infections peritonsillar abscesses deep neck infections antibiotics bacteria |
title | Oral and Maxillofacial Infections—A Bacterial and Clinical Cross-Section |
title_full | Oral and Maxillofacial Infections—A Bacterial and Clinical Cross-Section |
title_fullStr | Oral and Maxillofacial Infections—A Bacterial and Clinical Cross-Section |
title_full_unstemmed | Oral and Maxillofacial Infections—A Bacterial and Clinical Cross-Section |
title_short | Oral and Maxillofacial Infections—A Bacterial and Clinical Cross-Section |
title_sort | oral and maxillofacial infections a bacterial and clinical cross section |
topic | oral and maxillofacial infections odontogenic infections peritonsillar abscesses deep neck infections antibiotics bacteria |
url | https://www.mdpi.com/2077-0383/11/10/2731 |
work_keys_str_mv | AT bartłomiejkaminski oralandmaxillofacialinfectionsabacterialandclinicalcrosssection AT katarzynabłochowiak oralandmaxillofacialinfectionsabacterialandclinicalcrosssection AT konradkołomanski oralandmaxillofacialinfectionsabacterialandclinicalcrosssection AT maciejsikora oralandmaxillofacialinfectionsabacterialandclinicalcrosssection AT sławomirkarwan oralandmaxillofacialinfectionsabacterialandclinicalcrosssection AT dariuszchlubek oralandmaxillofacialinfectionsabacterialandclinicalcrosssection |