C-reactive protein as an inflammatory marker in monitoring therapy effectiveness of acute odontogenic infections

Introduction. Clinical presentation of acute odontogenic infections may vary, while adequate evaluation of its severity is of great importance for determination of appropriate and effective therapy. Objective. The aim of the present study was to monitor changes of C-reactive protein (CRP) levels,...

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Main Authors: Dražić Radojica, Jurišić Milan, Marković Aleksa, Čolić Snježana, Gačić Bojan, Stojčev-Stajčić Ljiljana
Format: Article
Language:English
Published: Serbian Medical Society 2011-01-01
Series:Srpski Arhiv za Celokupno Lekarstvo
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0370-8179/2011/0370-81791108446D.pdf
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author Dražić Radojica
Jurišić Milan
Marković Aleksa
Čolić Snježana
Gačić Bojan
Stojčev-Stajčić Ljiljana
author_facet Dražić Radojica
Jurišić Milan
Marković Aleksa
Čolić Snježana
Gačić Bojan
Stojčev-Stajčić Ljiljana
author_sort Dražić Radojica
collection DOAJ
description Introduction. Clinical presentation of acute odontogenic infections may vary, while adequate evaluation of its severity is of great importance for determination of appropriate and effective therapy. Objective. The aim of the present study was to monitor changes of C-reactive protein (CRP) levels, to correlate its values with symptoms of different acute odontogenic infections (AOI), and to monitor the effectiveness of the applied therapy. Methods. Fifty-four patients with AOI were included in the study. Eighteen patients with good drainage and normal body temperature were treated only by surgical incision without using antibiotics. Twenty-two patients with poor drainage after incision and normal body temperature were treated by surgical incision and antibiotics. Fourteen patients with elevated body temperature were treated by incision and antibiotics, irrespective of the quality of the drainage. CRP levels were measured on admission, on the 3rd and 7th day after therapy initiation. Results. On admission CRP levels were higher in AOI with elevated body temperature compared to poorly and well-drained AOI. There were no differences in CRP levels between well and poorly drained AOI on admission. On the 3rd day, a decline in the CRP levels was evident in all three groups of patients, and there was no difference among the groups. On the 7th day, the CRP levels normalized in all groups. Conclusion. CRP levels correlate well with the severity and resolution of AOI and could be used as a reliable parameter in monitoring the effectiveness of AOI therapy.
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spelling doaj.art-f887d2ae885e40ebac79aab4d03b62f52022-12-21T22:30:47ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792011-01-011397-844645110.2298/SARH1108446DC-reactive protein as an inflammatory marker in monitoring therapy effectiveness of acute odontogenic infectionsDražić RadojicaJurišić MilanMarković AleksaČolić SnježanaGačić BojanStojčev-Stajčić LjiljanaIntroduction. Clinical presentation of acute odontogenic infections may vary, while adequate evaluation of its severity is of great importance for determination of appropriate and effective therapy. Objective. The aim of the present study was to monitor changes of C-reactive protein (CRP) levels, to correlate its values with symptoms of different acute odontogenic infections (AOI), and to monitor the effectiveness of the applied therapy. Methods. Fifty-four patients with AOI were included in the study. Eighteen patients with good drainage and normal body temperature were treated only by surgical incision without using antibiotics. Twenty-two patients with poor drainage after incision and normal body temperature were treated by surgical incision and antibiotics. Fourteen patients with elevated body temperature were treated by incision and antibiotics, irrespective of the quality of the drainage. CRP levels were measured on admission, on the 3rd and 7th day after therapy initiation. Results. On admission CRP levels were higher in AOI with elevated body temperature compared to poorly and well-drained AOI. There were no differences in CRP levels between well and poorly drained AOI on admission. On the 3rd day, a decline in the CRP levels was evident in all three groups of patients, and there was no difference among the groups. On the 7th day, the CRP levels normalized in all groups. Conclusion. CRP levels correlate well with the severity and resolution of AOI and could be used as a reliable parameter in monitoring the effectiveness of AOI therapy.http://www.doiserbia.nb.rs/img/doi/0370-8179/2011/0370-81791108446D.pdfodontogenic infectionsC-reactive proteinincisiondrainageantibiotic therapy
spellingShingle Dražić Radojica
Jurišić Milan
Marković Aleksa
Čolić Snježana
Gačić Bojan
Stojčev-Stajčić Ljiljana
C-reactive protein as an inflammatory marker in monitoring therapy effectiveness of acute odontogenic infections
Srpski Arhiv za Celokupno Lekarstvo
odontogenic infections
C-reactive protein
incision
drainage
antibiotic therapy
title C-reactive protein as an inflammatory marker in monitoring therapy effectiveness of acute odontogenic infections
title_full C-reactive protein as an inflammatory marker in monitoring therapy effectiveness of acute odontogenic infections
title_fullStr C-reactive protein as an inflammatory marker in monitoring therapy effectiveness of acute odontogenic infections
title_full_unstemmed C-reactive protein as an inflammatory marker in monitoring therapy effectiveness of acute odontogenic infections
title_short C-reactive protein as an inflammatory marker in monitoring therapy effectiveness of acute odontogenic infections
title_sort c reactive protein as an inflammatory marker in monitoring therapy effectiveness of acute odontogenic infections
topic odontogenic infections
C-reactive protein
incision
drainage
antibiotic therapy
url http://www.doiserbia.nb.rs/img/doi/0370-8179/2011/0370-81791108446D.pdf
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