2023, Number 4
<< Back Next >>
Rev ADM 2023; 80 (4)
Clinical-epidemiological aspects in patients with cervicofacial odontogenic abscesses and associated factors for short hospital stay.
Moctezuma-Bravo GS, Ortega-Bravo J, Velasco-Chávez JF, Moctezuma-Dávila M, Moctezuma-Dávila LM
Language: Spanish
References: 22
Page: 197-203
PDF size: 226.45 Kb.
ABSTRACT
Introduction: prompt resolution of the abscess is sought in all patients hospitalized with cervicofacial odontogenic abscess, but which factors favor this resolution in short hospitalizations (1-3 days).
Objective: determine clinical-epidemiological factors of patients with odontogenic abscesses to identify factors that correlate with short hospitalization.
Material and methods: cross-sectional, retrospective, observational and analytical study of 100 patients with odontogenic abscesses in a General Hospital of the Zone of the Mexican Social Security Institute from 2012-2013. Study variables; days of hospitalization, sex, age, comorbidities, leukocyte count, trismus, causative tooth, affected region and treatments performed. Sample size obtained with the formula for observational studies with prevalence management for infinite populations, χ
2 was used to identify factors that correlate with short hospitalization.
Results: women 56%, age range 12-89 years and hospitalization of 1-23 days, with comorbidities 56%, leukocytosis 39% and trismus 21%. Caries caused 64% of abscesses, lower molars 70% and affected submandibular region 73%. Statistically significant variables; leukocyte count, causative tooth and affected region.
Conclusion: factors correlated with short hospitalization; leukocyte count less than 10,500 leukocytes, that the lower molar is not the causal tooth and that the submandibular region is not affected.
REFERENCES
Organización Mundial de la Salud. Salud bucodental. Dashboard [Internet]. [Citado 15 de marzo de 2022] Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/oral-health
Miguelena-Muro KE, Garcilazo-Gómez A, Sáenz-Martínez LP. Caries en la infancia temprana e índice de masa corporal en una población preescolar de la Alcaldía de Xochimilco. Rev Tamé. 2019; 8 (23): 916-919.
Arrieta LM, Paredes S, Flores M, Romero NS, Andersson N. Prevalencia de caries y factores asociados: estudio transversal en estudiantes de preparatoria de Chilpancingo, Guerrero, México. Rev Odont Mex. 2019; 23 (1): 31-41.
Ogle OE. Odontogenic infections. Dent Clin North Am. 2017; 61 (2): 235-252. doi: 10.1016/j.cden.2016.11.004.
Pham Dang N, Delbet-Dupas C, Mulliez A, Devoize L, Dallel R, Barthélémy I. Five predictors affecting the prognosis of patients with severe odontogenic infections. Int J Environ Res Public Health. 2020; 17 (23): 8917. doi: 10.3390/ijerph17238917.
Qian Y, Ge Q, Zuo W, Cheng X, Xing D, Yang J et al. Maxillofacial space infection experience and risk factors: a retrospective study of 222 cases. Ir J Med Sci. 2021; 190 (3): 1045-1053. doi: 10.1007/s11845-020-02431-z.
Blankson PK, Parkins G, Boamah MO, Abduliai AE, Ahmed AM, Bondorin S et al. Severe odontogenic infections: a 5-year review of a major referral hospital in Ghana. Pan Afr Med J. 2019; 32: 71. doi: 10.11604/pamj.2019.32.71.17698.
Velhonoja J, Laaveri M, Soukka T, Irjala H, Kinnunen I. Deep neck space infections: an upward trend and changing characteristics. Eur Arch Otorhinolaryngol. 2020; 277 (3): 863-872. doi: 10.1007/s00405-019-05742-9.
Park J, Lee JY, Hwang DS, Kim YD, Shin SH, Kim YD et al. A retrospective analysis of risk factors of oromaxillofacial infection in patients presenting to a hospital emergency ward. Maxillofac Plastic Reconstr Surg. 2019; 41 (1): 49-48. doi: 10.1186/s40902-019-0238-9.
Zawislak E, Nowak R. Odontogenic head and neck region infections requiring hospitalization: an 18-month retrospective analysis. Biomed Res Int. 2021; 2021: 7086763. doi: 10.1155/2021/7086763.
Shakya N, Sharma D, Newaskar V, Agrawal D, Shrivastava S, Yadav R. Epidemiology, microbiology and antibiotic sensitivity of odontogenic space infections in central India. J Maxillofac Oral Surg. 2018; 17 (3): 324-331. doi: 10.1007/s12663-017-1014-y.
Prevención, diagnóstico y tratamiento de la infección odontogénica en adultos en 1er y 2o. nivel de atención. México: Secretaría de Salud, ISSSTE-517-11.
Gholami M, Mohammadi H, Amiri N, Khalife H. Key factors of odontogenic infections requiring hospitalization: a retrospective study of 102 cases. J Oral Maxillofac Surg Med Pathol. 2017; 29: 395-399.
Fu B, McGowan K, Sun H, Batstone M. Increasing use of Intensive Care Unit for odontogenic infection over one decade: incidence and predictors. J Oral Maxillofac Surg. 2018; 76 (11): 2340-2347. doi: 10.1016/j.joms.2018.05.021.
Han X, An J, Zhang Y, Gong X, He Y. Risk factors for life-threatening complications of maxillofacial space infection. J Craniofac Surg. 2016; 27 (2): 385-390. doi: 10.1097/SCS.0000000000 002416.
Sebastian A, Antony PG, Jose M, Babu A, Sebastian J, Kunnilathu A. Institutional microbial analysis of odontogenic infections and their empirical antibiotic sensitivity. J Oral Biol Craniofac Res. 2019; 9 (2): 133-138. doi: 10.1016/j.jobcr.2019.02.003.
Zheng L, Yang C, Kim E, Zhang W, Cai X, Jiang B et al. The clinical features of severe multi-space infections of the head and neck in patients with diabetes mellitus compared to non-diabetic patients. Br J Oral Maxillofac Surg. 2012; 50 (8): 757-761. doi: 10.1016/j.bjoms.2012.01.019.
Obregón-Guerrero G, Martínez-Ordaz JL, Moreno-Aguilera E, Ramírez-Martinez M, Peña-García JF, Pérez-Álvarez C. Absceso profundo de cuello. Factores asociados con la reoperación y mortalidad. Cir Cir. 2013; 81 (4): 299-306.
Rodríguez-Frausto M, Murillo LD, Solorio S, Hernández MA, Villa R. Frecuencia de infección cervicofacial odontógena que requiere hospitalización. Rev Med Inst Mex Seguro Soc. 2011; 49 (2): 137-140.
Dodson TB, Barton JA, Kaban LB. Predictors of outcome in children hospitalized with maxillofacial infections: a linear logistic model. J Oral Maxillofac Surg. 1991; 49 (8): 838-842. doi: 10.1016/0278-2391(91)90012-b.
Rashid MO, Talabani RM, Baban MT, Gul SS, Salih RO, Abdulkareem BN et al. Prevalence of impacted mandibular third molars and its association with distal caries in mandibular second molars using cone beam computed tomography. J Oral Res. 2019; 8 (1): 66-73. doi: 10.17126/joralres.2019.009.
Sánchez R, Mirada E, Arias J, Paño JR, Burgueño M. Severe odontogenic infections: epidemiological, microbiological and therapeutic factors. Med Oral Patol Oral Cir Bucal. 2011; 16 (5): e670-e676. doi: 10.4317/medoral.16995.