Antibiotic sensitivity and resistance of bacteria from odontogenic maxillofacial abscesses
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Objectives: This study investigated the types and antibiotic sensitivity of bacteria in odontogenic abscesses. Materials and Methods: Pus specimens from 1,772 patients were collected from affected areas during incision and drainage, and bacterial cultures and antibiotic sensitivity tests were performed. The number of antibiotic-resistant bacteria was analyzed relative to the total number of bacteria that were tested for antibiotic susceptibility. Results: Bacterial cultures from 1,772 patients showed a total of 2,489 bacterial species, 2,101 gram-positive and 388 gram-negative. For penicillin G susceptibility tests, 2 out of 31 Staphylococcus aureus strains tested showed sensitivity and 29 showed resistance. For ampicillin susceptibility tests, all 11 S. aureus strains tested showed resistance. In ampicillin susceptibility tests, 46 out of 50 Klebsiella pneumoniae subsp. pneumoniae strains tested showed resistance. Conclusion: When treating odontogenic maxillofacial abscesses, it is appropriate to use antibiotics other than penicillin G and ampicillin as the first-line treatment.
Abstract
Objectives: This study investigated the types and antibiotic sensitivity of bacteria in odontogenic abscesses. Materials and Methods: Pus specimens from 1,772 patients were collected from affected areas during incision and drainage, and bacterial cultures and antibiotic sensitivity tests were performed. The number of antibiotic-resistant bacteria was analyzed relative to the total number of bacteria that were tested for antibiotic susceptibility. Results: Bacterial cultures from 1,772 patients showed a total of 2,489 bacterial species, 2,101 gram-positive and 388 gram-negative. For penicillin G susceptibility tests, 2 out of 31 Staphylococcus aureus strains tested showed sensitivity and 29 showed resistance. For ampicillin susceptibility tests, all 11 S. aureus strains tested showed resistance. In ampicillin susceptibility tests, 46 out of 50 Klebsiella pneumoniae subsp. pneumoniae strains tested showed resistance. Conclusion: When treating odontogenic maxillofacial abscesses, it is appropriate to use antibiotics other than penicillin G and ampicillin as the first-line treatment.
참고문헌 (13)
- Robertson D, "The microbiology of the acute dental abscess", J Med Microbiol, 58(Pt 2), pp.155~162 (2009)
- Sobottka I, "Microbiological analysis of a prospective, randomized, double-blind trial comparing moxifloxacin and clindamycin in the treatment of odontogenic infiltrates and abscesses", Antimicrob Agents Chemother, 56, pp.2565~2569 (2012)
- Walia IS, "Microbiology and antibiotic sensitivity of head and neck space infections of odontogenic origin", J Maxillofac Oral Surg, 13, pp.16~21 (2014)
- Seppänen L, "Analysis of systemic and local odontogenic infection complications requiring hospital care", J Infect, 57, pp.116~122 (2008)
- Opitz D, "Incidence and management of severe odontogenic infections-a retrospective analysis from 2004 to 2011", J Craniomaxillofac Surg, 43, pp.285~289 (2015)
- Rega AJ, "Microbiology and antibiotic sensitivities of head and neck space infections of odontogenic origin", J Oral Maxillofac Surg, 64, pp.1377~1380 (2006)
- Sweeney LC, "Antibiotic resistance in general dental practice--a cause for concern", J Antimicrob Chemother, 53, pp.567~576 (2004)
- Dahlén G, "Microbiology and treatment of dental abscesses and periodontal-endodontic lesions", Periodontol 2000, 28, pp.206~239 (2002)
- Bertossi D, "Odontogenic orofacial infections", J Craniofac Surg, 28, pp.197~202 (2017)
- Stefanopoulos PK, "The clinical significance of anaerobic bacteria in acute orofacial odontogenic infections", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 98, pp.398~408 (2004)
- Lewis MA, "A microbiological and clinical review of the acute dentoalveolar abscess", Br J Oral Maxillofac Surg, 28, pp.359~366 (1990)
- Lee YQ, "Bacteriology of deep neck abscesses : a retrospective review of 96 consecutive cases", Singapore Med J, 52, pp.351~355 (2011)
- Shermil Sayd, "Comparison of the efficacy of amoxicillin-clavulanic acid with metronidazole to azithromycin with metronidazole after surgical removal of impacted lower third molar to prevent infection", 대한구강악안면외과학회지, 44(3), pp.103~106 (2018), 대한구강악안면외과학회