Children with facial cellulitis and hospitalization criterion
Keywords:
facial cellulitis, pediatric inpatient criteria, primary dental health care in dentistry.Abstract
Introduction: facial cellulitis can become a serious vital risk when doctors don't keep in mind the appropriate treatment. It constitutes a health problem in pediatric population, because it is the second more frequent cause of hospital admittance in the Maxillofacial Surgery Service, followed by maxillofacial traumatisms.
Objective: to understand facial cellulitis behavior and to describe the therapeutic handling in Primary Health Care (PHC) in Playa, Marianao, and Lisa municipalities in Havana.
Method: a retrospective observational study was performed on 53 patients who were admitted to the Maxillofacial Surgery Pediatric Teaching Hospital "Juan Manuel Marquez", from January 2001 to January 2007.
Results: there was no statistical significance between genders and age groups, the mean age was 8 years with a standard deviation of 4. The most frequent was odontogenic cellulitis (60.4 %). 60.3 % of patients were poorly handled by the primary care service. The most affected dental groups suggest that preventive measures should be directed mostly to people with temporary and mixed teething
Conclusions: there was higher representation in male patients and the 1 to 5 age group. Odontogenic facial cellulitis was the predominant type. Antimicrobial treatment was inadequate in more than half of cases at the primary health care. At admission severe clinical evaluation prevailed.
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