Severe odontogenic infection: Possible predictive factors
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PERIAPICAL ABSCESSAbstract
Those factors that may predispose to a severe odontogenic infection requiring intensive care were analyzed. An observational descriptive study was conducted among 100 patients that were consecutively admitted with severe odontogenic infection at "Manuel Ascunce Domenech" Hospital, in Camagüey, from 1999 to 2001. Different variables, including medical and social parameters and previous dental procedures were studied based on the medical histories. Special emphasis was made on the results of the bacterial cultures. The mean age of the 59 male patients and 41 female patients was of 41 ± 15.8. 18 patients needed intesive care. 41 % of the patients had a low educational level. 11 severe patients (61.1 %) and 42 non-severe (51.2 %) were smokers. 2 patients (11.1 %) of the severe and 8 (9.8 %) of the non-severe drank alcoholic beverage excessively. The prevalence of chronic diseases was higher among the non-severe (31.7 %). The most common underlying affection was periapical osteitis (70 % of the infectious episodes ) followed by tooth extraction in 27.5 % of the severe and 10.9 % of the non-severe. None of these factors predicted the need of intensivce care. There were no significant differences concerning symptoms , delay to request medical attention, previous dental procedures or antimicrobial therapeutics. The aerobial streptococcus (S. Milleri group) associated with varied anaerobial bacteria predominated. No social or clinical variables prediciting a severe course in odontogenic infections were found. All the patients should be carefully monitored to prevent severe complications.Downloads
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