Limits...
Efficiency of Empirically Administered Antibiotics in Patients with Cervical Infections of Odontogenic Origin.

Juncar M, OniȘor-Gligor F, Bran S, Juncar RI, BăciuȚ MF, DumitraȘcu DI, BăciuȚ G, Moldovan I - Clujul Med (2015)

Bottom Line: The bacterial flora involved in the development of the septic process, the type of antibiotic administered to the patient and the sensitivity of the identified bacterial flora to the administered antibiotic were determined.Of the administered antibiotics, amoxicillin was the most widely used (33.3% of the cases), followed by amoxicillin with beta-lactamase inhibitors (25% of the cases).Empirical administration of antibiotics without the association of surgery did not prove to be effective in the treatment of cervical infections of odontogenic origin.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

ABSTRACT

Background and aims: Odontogenic infections are among the main types of disorders located in the cephalic extremity. The aim of this study was to determine the efficiency of empirically administered antibiotics on the bacterial strains identified at the infection sites.

Patients and method: The study included 10 randomly selected patients with odontogenic cervical soft tissue infections, who received antibiotic treatment prescribed by the family doctor or the dentist. The bacterial flora involved in the development of the septic process, the type of antibiotic administered to the patient and the sensitivity of the identified bacterial flora to the administered antibiotic were determined.

Results: In the 10 selected patients, 14 bacterial strains were detected; 7 patients had a single bacterial strain, and 3 patients had two or three types of bacteria. Of the administered antibiotics, amoxicillin was the most widely used (33.3% of the cases), followed by amoxicillin with beta-lactamase inhibitors (25% of the cases). In half of the patients, there was no sensitivity of the bacteria detected in the septic focus to the empirically administered antibiotic, and in 10% of the cases, partial sensitivity was evidenced.

Conclusions: Empirical administration of antibiotics without the association of surgery did not prove to be effective in the treatment of cervical infections of odontogenic origin.

No MeSH data available.


Related in: MedlinePlus

Percent distribution of the main types of antibiotics used by the patients included in the study group.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4508612&req=5

f3-cm8801p65: Percent distribution of the main types of antibiotics used by the patients included in the study group.

Mentions: In the case of the patients included in the study, a time period between 5 and 12 days, with a mean of 7.4 days, lapsed from the onset of the septic process to the presentation for specialized treatment. During this time period, all patients used antibiotic treatment, with a mean of 1.2 antibiotic types; 8 of the 10 patients had one antibiotic type, and 2 patients had 2 antibiotic types. Amoxicillin was the most frequent type of antibiotic used (Fig. 3), and the most frequent route of administration was the oral route, only in two cases the antibiotics being administered by intravenous route.


Efficiency of Empirically Administered Antibiotics in Patients with Cervical Infections of Odontogenic Origin.

Juncar M, OniȘor-Gligor F, Bran S, Juncar RI, BăciuȚ MF, DumitraȘcu DI, BăciuȚ G, Moldovan I - Clujul Med (2015)

Percent distribution of the main types of antibiotics used by the patients included in the study group.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4508612&req=5

f3-cm8801p65: Percent distribution of the main types of antibiotics used by the patients included in the study group.
Mentions: In the case of the patients included in the study, a time period between 5 and 12 days, with a mean of 7.4 days, lapsed from the onset of the septic process to the presentation for specialized treatment. During this time period, all patients used antibiotic treatment, with a mean of 1.2 antibiotic types; 8 of the 10 patients had one antibiotic type, and 2 patients had 2 antibiotic types. Amoxicillin was the most frequent type of antibiotic used (Fig. 3), and the most frequent route of administration was the oral route, only in two cases the antibiotics being administered by intravenous route.

Bottom Line: The bacterial flora involved in the development of the septic process, the type of antibiotic administered to the patient and the sensitivity of the identified bacterial flora to the administered antibiotic were determined.Of the administered antibiotics, amoxicillin was the most widely used (33.3% of the cases), followed by amoxicillin with beta-lactamase inhibitors (25% of the cases).Empirical administration of antibiotics without the association of surgery did not prove to be effective in the treatment of cervical infections of odontogenic origin.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

ABSTRACT

Background and aims: Odontogenic infections are among the main types of disorders located in the cephalic extremity. The aim of this study was to determine the efficiency of empirically administered antibiotics on the bacterial strains identified at the infection sites.

Patients and method: The study included 10 randomly selected patients with odontogenic cervical soft tissue infections, who received antibiotic treatment prescribed by the family doctor or the dentist. The bacterial flora involved in the development of the septic process, the type of antibiotic administered to the patient and the sensitivity of the identified bacterial flora to the administered antibiotic were determined.

Results: In the 10 selected patients, 14 bacterial strains were detected; 7 patients had a single bacterial strain, and 3 patients had two or three types of bacteria. Of the administered antibiotics, amoxicillin was the most widely used (33.3% of the cases), followed by amoxicillin with beta-lactamase inhibitors (25% of the cases). In half of the patients, there was no sensitivity of the bacteria detected in the septic focus to the empirically administered antibiotic, and in 10% of the cases, partial sensitivity was evidenced.

Conclusions: Empirical administration of antibiotics without the association of surgery did not prove to be effective in the treatment of cervical infections of odontogenic origin.

No MeSH data available.


Related in: MedlinePlus