Bakterielle odontogene infeksjoner

Døving, Mats; Handal, Trude; Galteland, Pål

doi:10.4045/tidsskr.19.0778

Cited by 9 publications

(8 citation statements)

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“…The most common pathogens in the oral cavity in healthy people include Streptococcus spp., Granulicatella spp., and Veillonella spp. ( Aas et al, 2005 ; Dewhirst et al, 2010 ), which can also cause dental and oral-maxillofacial infections under certain conditions, such as caries, periodontitis, endodontic infections and tonsillitis ( Scannapieco, 2013 ; Wade, 2013 ; Døving et al, 2020 ). In addition to these commensals, other bacterial pathogens are associated with infections of the oral cavity, such as Staphylococcus spp.…”

Section: Introductionmentioning

confidence: 99%

Antimicrobial Resistance and the Spectrum of Pathogens in Dental and Oral-Maxillofacial Infections in Hospitals and Dental Practices in Germany

et al. 2021

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Data on microbiological profiles in odontogenic infections are scarce. This study aimed to analyze the spectrum of pathogens and antimicrobial resistance in clinical isolates from dental and oral-maxillofacial clinical settings in Germany. We analyzed 20,645 clinical isolates (dental practices: n = 5,733; hospitals: n = 14,912) from patients with odontogenic infections using data (2012–2019) from the German Antimicrobial-Resistance-Surveillance (ARS) system. A total of 224 different species from 73 genera were found in clinical isolates from dental practices, and 329 different species from 97 genera were identified in isolates from hospital patients. In both hospitals and dental practices Streptococcus spp. (33 and 36%, respectively) and Staphylococcus spp. (21 and 12%, respectively) were the most frequently isolated microorganisms. In Streptococcus spp. isolates from hospitals, penicillin and aminopenicillin resistance proportions were 8.0% (95%CI 4.7–14.9%) and 6.9% (95%CI 4.7–9.9%), respectively. Substantially lower resistance proportions of penicillin and aminopenicillin were observed in dental practices [2.6% (95%CI 1.4–4.7%) and 2.1% (95%CI 1.1–4.0%), respectively]. Among Staphylococcus aureus isolates from hospital patients methicillin resistance proportions were 12.0% (95%CI 9.7–14.8%), which was higher than in isolates from dental practices (5.8% (95%CI 4.1–8.1%)]. High clindamycin and macrolide resistance proportions (>17%) were observed in Streptococcus spp. and Staphylococcus aureus isolates. In Klebsiella spp. isolates carbapenem resistance proportions were <1%. In sum, substantial antibiotic resistance was observed in isolates from odontogenic infections, which calls for strengthened efforts in antibiotic stewardship and infection prevention and control measures in both hospitals and dental practices.

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Section: Introductionmentioning

confidence: 99%

Antimicrobial Resistance and the Spectrum of Pathogens in Dental and Oral-Maxillofacial Infections in Hospitals and Dental Practices in Germany

et al. 2021

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“…The most prevalent bacterial genus is gram-positive cocci Streptococcus, encompassing species such as Streptococcus mitis, Streptococcus sanguinis, Streptococcus salivarius, and Streptococcus anginosus. These species are known contributors to developing odontogenic infections [ 22 ]. It was noted that gram-positive cocci are the causative agents for about 65% of orofacial infections since they are the most common microflora in the oral cavity, and gram-negative bacilli could be found in 25% of oral specimens collected [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

“…Antibiotic prescription is associated with unfavorable adverse effects, including hypersensitivity, dermatological reactions, gastrointestinal disturbances, hematological complications, and alterations in bacterial microbiota. In recent years, bacterial resistance has been increasingly linked to the overuse or misuse of broad-spectrum antibiotics [ 8 , 22 , 33 ].…”

Section: Discussionmentioning

confidence: 99%

Dentists' attitudes and prescription practices for analgesics and antibiotics in Kirkuk Governorate, Iraq

Mahdi,

Ibrahim

2023

JMedLife

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The inappropriate use of analgesics and antibiotics is a widespread issue among dentists globally, leading to the risk of over-prescription that could negatively affect patient health and quality of life. This study aimed to assess the prescribing patterns of analgesics and antibiotics by dentists in Kirkuk City, Iraq, focusing on their attitudes, knowledge levels, and practices regarding these medications. A cross-sectional survey was conducted among 280 dentists in Kirkuk City. The dentists were contacted via their work email addresses, and they responded to a survey. Descriptive statistics, including frequency analysis, were employed to evaluate the appropriateness of analgesic and antibiotic prescriptions for different dental conditions. The first-choice analgesic for 44.6% of dentists was mefenamic acid, followed by paracetamol (31.1%). Regarding antibiotic use, 56.8% of dentists in Kirkuk City reported using antibiotics for empirical and direct therapy. Other dentists (43.2%) revealed that they did not have enough information regarding antibiotic group preference in empirical therapy. 106 of the participants (37.85%) recommended the use of broad-spectrum antibiotics in the treatment of bacterial infections. However, most (45%) were unfamiliar with the group preferences in empirical therapy. Dentists in Kirkuk City showed variations in knowledge and awareness regarding using analgesics and antibiotics. This requires further education and training on proper analgesics and antibiotic stewardship guidelines.

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“…A quack is a person who pretends professionally or publicly to have skills, knowledge, or qualifications he or she does not possess, and individuals in this category are on the rise. [ 4 5 6 ] Quackery is defined as “the fraudulent misrepresentation of one’s ability and experience in the diagnosis and treatment of disease or of the effects to be achieved by the treatment offered.”[ 7 ]…”

Section: Introductionmentioning

confidence: 99%

“…Odontogenic infections, which are infections that originate in the teeth and/or their supporting tissues, are responsible for a majority of head and neck infections. [ 5 ] The incidence of which is on the rise because of quackery. [ 4 5 ]…”

Section: Introductionmentioning

confidence: 99%

Quackery as a cause of maxillofacial infections and its implications

Akhiwu

et al. 2021

J West Afr Coll Surg

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Background: In recent times, the prevalence of quackery in oral and maxillofacial practice has become rampant with complications, one of which is odontogenic infections. This study was aimed to identify how common quackery is among our patients with odontogenic infections and the outcome of the patients. Materials and Methods: The study was a descriptive cross-sectional study of all patients presenting with odontogenic infections seen at the accident and emergency unit and the oral and maxillofacial surgery clinics of a tertiary hospital in North Central Nigeria from January 2017 to December 2021. Information obtained included sociodemographic characteristics, presenting complaints, duration of illness, prehospital care, diagnosis, duration of hospital stay, where the patient was first managed, what is the “doctor/dentist” status, and outcome. Results: A total of 237 patients were recruited with a male to female ratio of 1:1.3. The commonest presenting complaints were toothache and jaw swelling with patients been ill for up to 2 weeks before presenting. About 41.8% of the patients have a co-existing health condition, and 46.4% of the patients had tooth extraction by a quack, with 82.7% taking antibiotics prescribed by a chemist before presentation. About 11.0% of the patients died; 96.2% of those that died had their tooth extracted by quacks. Patients with preexisting health conditions and preadmission tooth extraction were more likely to die with odds ratio (OR) = 2.230; 95% confidence interval (CI) = 1.06–4.71 and OR = 28.9; 95% CI = 3.97–209.6, respectively. Conclusion: Quackery is very common in our society. The odds of death are increased in patients with odontogenic infection if the patient has a preexisting health condition and even more significant if they had their tooth extracted by quacks.

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Bakterielle odontogene infeksjoner

Cited by 9 publications

References 0 publications

Antimicrobial Resistance and the Spectrum of Pathogens in Dental and Oral-Maxillofacial Infections in Hospitals and Dental Practices in Germany

Antimicrobial Resistance and the Spectrum of Pathogens in Dental and Oral-Maxillofacial Infections in Hospitals and Dental Practices in Germany

Dentists' attitudes and prescription practices for analgesics and antibiotics in Kirkuk Governorate, Iraq

Quackery as a cause of maxillofacial infections and its implications

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