Gender differences in patients with severe dental infections presenting to hospital
Autor: | P. Kyzas, Rebecca Exley, Kayleigh Gilbert, S. Kent, Roderick Morrison, B. Dawoud, Alastair Henry, James McCaul, Greg Logan, Alisdair Regan, R. Kulkarni, MTReC Collaborative, Anusha Hennedige, Christopher McDonald |
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Rok vydání: | 2021 |
Předmět: |
Pediatrics
medicine.medical_specialty business.industry Dental infections medicine.medical_treatment MEDLINE 030206 dentistry Disease 03 medical and health sciences Gingivitis 0302 clinical medicine Health care Oral and maxillofacial surgery Medicine Intubation In patient 030212 general & internal medicine medicine.symptom business General Dentistry |
Zdroj: | British Dental Journal. |
ISSN: | 1476-5373 0007-0610 |
Popis: | Introduction Gender differences have been documented in prevalence and morbidity of caries, gingivitis and oral health, but not previously in cervicofacial infection. Identification and minimisation of gender inequalities is a World Health Organisation priority, and there are physiological, behavioural and cultural reasons to suspect that sex and gender differences may be present.Methods Analysis was carried out of the MTReC National Snapshot audit of cervicofacial infections. This database was created by oral and maxillofacial surgery trainees in 2017 and records over 400 variables in 1,002 individual patients admitted to hospital with severe odontogenic infection.Results Records were available for 1,002 patients with cervicofacial infection (456 females and 546 males). There were significant differences between recorded gender in those presenting with airway compromise (male 7% vs female 2%, p = 0.001), severe inflammatory response syndrome (male 60% vs female 39%, p = 0.007) and requirement for awake fibre-optic intubation on admission (male 4% vs female 1%, p = 0.014).Discussion These results suggest that male patients access healthcare later in their disease than female patients, and with more severe systemic compromise. This may be due to prevalent cultural and behavioural norms. As equality of access is the responsibility of the administrator, we discuss methods which might improve timely presentation in males with cervicofacial infections. |
Databáze: | OpenAIRE |
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