Factors associated with prolonged hospitalizations from odontogenic infections in children

Abstract

Oro-facial infections are common pathologies comprising a substantial health concern in the pediatric population. Incorrect or late treatment may lead to serious and possibly lifethreatening complications. The aim of this study is to analyze variables associated with prolonged length of hospital stays (LOS) due to odontogenic infections in children. Study design: Data was collected from the records of patients (age <15 years) hospitalized due to odontogenic infections at Poriya Medical Center during the period of 1/2010-12/2015. Patients with oro-facial infections originating from other organs were excluded from the study as well as children with underlying systemic medical conditions that may affect recovery. Results: A total of 411 patients (mean age 6.5 ± 2 years) were included in this study, with 58.4% being male. There were significantly higher (p < 0.05) values of white blood cell (WBC) counts in patients with >3 days LOS. Patients with >3 days LOS were also significantly older (8.4 vs. 6.3 years). There were no significant differences in sex distribution or other clinical or laboratory parameters between the groups. Conclusion: Older child age and higher WBC counts on admission are indicators for prolonged LOS.

Serious Complications and Treatment Strategies Associated with Odontogenic Infections

“… 72 Insufficient definition of the affected tissue edges and sensitivity beyond the limits of the visible area of involvement are clinical features that distinguish early NF from erysipelas or cellulitis. 1 , 2 …”

“…Odontogenic infections (OIs) arise from dental origins and can be caused by several pathologies, such as trauma, caries, pericoronitis, gingivitis, and iatrogenic factors. 1 Odontogenic infections can be disseminated or localized. A simple incision, drainage, and examination of the infection’s dental origin are all viable methods for managing localized infections.…”