An outcome audit of the treatment of acute dentoalveolar infection: impact of penicillin resistance
| Autor: | Tomoari Kuriyama, David Wynne Williams, Elias George Absi, Michael Alexander Oxenham Lewis |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Clinical audit
Adult Male medicine.medical_specialty Periapical Abscess Adolescent medicine.drug_class Root canal Penicillin Resistance Antibiotics Dental Audit medicine Humans Drainage General Dentistry Aged Aged 80 and over Chi-Square Distribution business.industry Middle Aged Surgery Anti-Bacterial Agents Clinical trial Penicillin medicine.anatomical_structure Penicillin resistance Female business Chi-squared distribution medicine.drug |
| Zdroj: | British dental journal. 198(12) |
| ISSN: | 0007-0610 |
| Popis: | OBJECTIVES: The aim of this audit was to measure the outcome of treatment of acute dentoalveolar infection and to determine if this was influenced by choice of antibiotic therapy or the presence of penicillin-resistance. SUBJECTS AND METHODS: A total of 112 patients with dentoalveolar infection were included in the audit. All patients underwent drainage, either incisional (n=105) or opening of the pulp chamber (n=7) supplemented with antibiotic therapy. A pus specimen was obtained from each patient for culture and susceptibility. Clinical signs and symptoms were recorded at the time of first presentation and re-evaluated after 48 or 72 h. RESULTS: A total of 104 (99%) of the patients who underwent incisional drainage exhibited improvement after 72 h. Signs and symptoms also improved in five of the seven patients who underwent drainage by opening of the root canal although the degree of improvement was less than that achieved by incisional drainage. Penicillin-resistant bacteria were found in 42 (38%) of the 112 patients in this study. Of the 65 patients who were given penicillin, 28 had penicillin-resistant bacteria. There was no statistical difference in the clinical outcome with regard to the antibiotic prescribed and the presence of penicillin-resistant bacteria. Strains of penicillin-resistant bacteria were isolated more frequently in patients who had previously received penicillin (p |
| Databáze: | OpenAIRE |
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