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Profile of Patients with Maxillofacial Space Infections and Associated Risk Factors.
Gadicherla, Srikanth; Manglani, Kirti; Pentapati, Kalyana C; Kudva, Adarsh; Aramanadka, Chithra; Chandravel, Rajaji.
Afiliación
  • Gadicherla S; Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.
  • Manglani K; Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.
  • Pentapati KC; Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.
  • Kudva A; Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.
  • Aramanadka C; Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.
  • Chandravel R; Health Services Management, University of Chester, Chester, UK.
ScientificWorldJournal ; 2024: 9304671, 2024.
Article en En | MEDLINE | ID: mdl-38633105
ABSTRACT

Objective:

To evaluate the profile of patients operated for maxillofacial space infections and associated risk factors for the length of hospital stay. Materials and

Methods:

We conducted a retrospective study among patients operated for maxillofacial infections at our center from 2010 to 2020. Information collected from the records were age, sex, type and number of spaces involved, clinical signs and symptoms (pain, swelling, toothache, sore throat, otalgia, hoarseness, headache, cough, neck swelling, rancid breath, sialorrhea, gingival swelling, muffled voice, trismus, fever, dysphagia, odynophagia, malaise, lymphadenopathy, dyspnoea, pus discharge), treatment modality, total leukocyte count, evidence of bacterial growth, comorbidities, complications if any and length of hospital stay.

Results:

A total of 128 medical records were examined, out of which 59 were female. The mean age was 38.59 ± 19.7 and the length of hospital stay was 7.56 ± 3.8 days. The most commonly involved space was submandibular space (46.1%) and the common symptoms reported were swelling (99.2%), pain (86.7%), and trismus (68%). Four patients had complications like necrotizing fasciitis (1.6%), pneumonia (0.8%), and death in one patient (0.8%). Logistic regression showed that patients more than 36 years of age, male sex, evidence of bacterial growth, and diabetics had higher odds of increased hospital stay (>6 days). Multiple logistic regression analysis showed that age (P = 0.015; OR 2.98) and evidence of bacterial culture (P = 0.001; OR6.64) were potential predictors associated with increased hospital stay.

Conclusion:

Our study showed that the age of the patient and evidence of bacterial culture were potential predictors of prolonged hospital stay among patients operated for maxillofacial space infections.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trismo / Cefalea Límite: Adolescent / Adult / Female / Humans / Male / Middle aged / Newborn Idioma: En Revista: ScientificWorldJournal Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: India Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trismo / Cefalea Límite: Adolescent / Adult / Female / Humans / Male / Middle aged / Newborn Idioma: En Revista: ScientificWorldJournal Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: India Pais de publicación: Estados Unidos