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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 176 - 180 (5page)
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Objectives: The increased prevalence of antibiotic resistance is an outcome of evolution. Most patients presenting with odontogenic space infections also have associated systemic co-morbidities such as diabetes mellitus resulting in impaired host defense. The present study aims to compare the odon-togenic spaces involved, antibiotic susceptibility of microorganisms, length of hospital stay, and the influenceof systemic comorbidities on treatment outcome in diabetic patients.Materials and Methods: A 2-year prospective study from January 2012 to January 2014 was conducted on patients with odontogenic maxillofacial space infections. The patients were divided into two groups based on their glycemic levels. The data were compiled and statistically analyzed.Results: A total of 188 patients were included in the study that underwent surgical incision and drainage, removal of infection source, specimen col-lection for culture-sensitivity, and evaluation of diabetic status. Sixty-one out of 188 patients were found to be diabetic. The submandibular space was the most commonly involved space, and the most prevalent microorganism was Klebsiella pneumoniae in diabetics and group D Streptococcus in the nondiabetic group.Conclusion: The submandibular space was found to be the most commonly involved space, irrespective of glycemic control. Empiric antibiotic ther-apy with amoxicillin plus clavulanic acid combined with metronidazole with optimal glycemic control and surgical drainage of infection led to resolu-tion of infection in diabetic as well as nondiabetic patients. The average length of hospital stay was found to be relatively longer in diabetic individuals.
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참고문헌 (18)
참고문헌 신청
Alexander M / 2008 / Diabetes mellitus and odontogenic infections--an exaggerated risk? / Oral Maxillofac Surg 12 : 129 ~ 130
Barlett JG / 1977 / Anaerobes in human infections. In: Finegold SM, ed. Metronidazole proceedings / Excerpta Medica
Chang CM / 2005 / Klebsiella pneumoniae fascial space infections of the head and neck in Taiwan: emphasis on diabetic patients and repetitive infections / J Infect 50 : 34 ~
Delamaire M / 1997 / Impaired leucocyte functions in diabetic patients / Diabet Med 14 : 29 ~ 34
Huang TT / 2006 / Factors affecting the bacteriology of deep neck infection: a retrospective study of 128 patients / Acta Otolaryngol 126 : 396 ~ 401
Barlett JG / 1977 / Anaerobes in human infections. In: Finegold SM, ed. Metronidazole proceedings / Excerpta Medica
Chang CM / 2005 / Klebsiella pneumoniae fascial space infections of the head and neck in Taiwan: emphasis on diabetic patients and repetitive infections / J Infect 50 : 34 ~
Delamaire M / 1997 / Impaired leucocyte functions in diabetic patients / Diabet Med 14 : 29 ~ 34
Huang TT / 2006 / Factors affecting the bacteriology of deep neck infection: a retrospective study of 128 patients / Acta Otolaryngol 126 : 396 ~ 401
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