New admission scoring criteria for patients with odontogenic infections: a pilot study

Sainuddin, Sajid; Hague, Richard; Howson, Kate; Clark, Stuart

doi:10.1016/j.bjoms.2016.05.003

Cited by 16 publications

(15 citation statements)

References 7 publications

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“…While some of these patients can be discharged safely from ED for treatment in outpatient clinics, others will require inpatient admission for more urgent incision and drainage of their abscess. Severity scoring systems have been published to aid clinical decision making in the emergency department, focusing on 'red flag' symptoms such as trismus, dysphagia, sepsis and airway compromise (23). A percentage of patients with severe odontogenic infections will also require ICU support in the immediate post-operative period following surgical drainage.…”

Section: Introductionmentioning

confidence: 99%

Increasing Use of Intensive Care Unit for Odontogenic Infection Over One Decade: Incidence and Predictors

McGowan

Sun

et al. 2018

Journal of Oral and Maxillofacial Surgery

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The use of the ICU in the management of odontogenic infection has increased significantly at the Royal Brisbane and Women's Hospital over 1 decade. The demographic data and clinical presentation of the patients admitted to the ICU did not change significantly. However, the length of ICU stay and the total length of stay have both increased. A significant increase in CT usage for odontogenic infections also occurred. Third molar infections, dysphagia, and elevated CRP might be relevant clinical predictors of a more complicated course of care requiring ICU admission. More judicious use of CT scanning, combined with prompt surgical consultation and intervention, might reduce the rate of ICU admissions for odontogenic infections.

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Section: Introductionmentioning

confidence: 99%

Increasing Use of Intensive Care Unit for Odontogenic Infection Over One Decade: Incidence and Predictors

McGowan

Sun

et al. 2018

Journal of Oral and Maxillofacial Surgery

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“…On a clinical severity scale of these infections, the heart rate is within the systemic parameters (Bali et al). An increase in heart rate is among the factors that are part of the systemic inflammatory response syndrome, which is one of the domains of another index proposed for such infections (Sainuddin et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Changes in Vital Signs and Laboratory Tests in Patients with Odontogenic Infections Requiring Hospitalization

Pavan¹,

Rocha-Junior²,

Gitt³

et al. 2020

Int. J. Odontostomat.

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The purpose of this study was to evaluate the changes in vital signs and laboratory tests of patients with odontogenic infections who required hospitalization as well as checking their effectiveness in determining the severity of the case and possible correlations with the length of stay. Patients with odontogenic infections who required hospitalization were assessed prospectively between October 2016 and April 2018. The patients were divided into two groups considered as simple (Group 1) or complex (Group 2) cases according to the length of stay. The personal data, comorbidities, signs and symptoms, vital signs and laboratory tests were analyzed. In this study, 84 cases of maxillofacial infections were detected and 50 cases of odontogenic infections were included. There were significant increases in heart rate (p = 0.012), leukocytosis (p = 0.037), neutrophilia (p = 0.021), neutrophil/lymphocyte (N/L) ratio (p = 0.044) and C-reactive protein (CRP) levels (p = 0.004) in Group 2. Additionally, there were positive correlations between the length of stay and the following variables: heart rate (p = 0.028), leukocytosis (p = 0.045), neutrophilia (p = 0.033), N/L ratio (p = 0.041) and CRP level (p = 0.003). The N/L ratio was found to have a greater value in regression analysis. It was concluded that there were significant increases in heart rate, leukocytosis, neutrophilia, N/L ratio and CRP levels for the complex cases. There were also positive correlations between the length of stay and the following variables: heart rate, leukocytosis, neutrophilia, N/L ratio and CRP level.

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“…CRP has a short half-life (5-7 hours), so CRP is considered a more sensitive indicator than total leukocyte count and erythrocyte sedimentation rate in assessing the severity of infection. 12,13,14 The severity score of odontogenic infection (Table 1) used in this research based on several parameters such as systemic inflammatory response syndrome (SIRS), trismus condition, dysphagia, involvement of fascial space, sign of dehydration and comorbid. Scoring system was created by Sainuddin et al 14 Odontogenic infections severity assessment is very important to plan a therapy and predict the prognosis of the disease course.…”

Section: Introductionmentioning

confidence: 99%

“…12,13,14 The severity score of odontogenic infection (Table 1) used in this research based on several parameters such as systemic inflammatory response syndrome (SIRS), trismus condition, dysphagia, involvement of fascial space, sign of dehydration and comorbid. Scoring system was created by Sainuddin et al 14 Odontogenic infections severity assessment is very important to plan a therapy and predict the prognosis of the disease course. 15 In addition to physical examination, laboratory findings are needed to help determine the severity in patients with odontogenic infections.…”

Section: Introductionmentioning

confidence: 99%

Correlation of odontogenic infection severity score with C-reactive protein levels on patients with odontogenic infection in Dr Hasan Sadikin General Hospital Bandung

et al. 2021

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Introduction: Head and neck infections commonly caused by spreading odontogenic infection, which able to cause a local and systemic manifestation, from mild to severe complications according to its severity. Assessment of the severity of odontogenic infections is essential to determine the prognosis, assessed through local and systemic parameters. Laboratory examination used to examine the biological marker that indicates the ongoing infection. C-reactive protein (CRP) is a protein synthesised by hepatocytes in response to the body's inflammatory process, including odontogenic infection. This study was aimed to analyse the severity score of odontogenic infections using the CRP levels in patients with odontogenic infections. Methods: An analytic study with a cross-sectional approach was conducted on 30 patients of Dr Hasan Sadikin General Hospital Bandung diagnosed with odontogenic infections, determined by calculations according to Hosmer and Lemeshow. Assessment of the severity score in odontogenic infections and quantitative CRP levels with the Dimension tool was conducted afterwards. Correlation between odontogenic infection severity score and CRP levels was analysed using regression and correlation tests. Results: From 30 subjects, there was found 33.3% with mild severity score, 63.3% moderate score and 3.3% severe score. The mean of the CRP level was significantly increased according to the odontogenic severity scoring category. All research subjects who were examined showed that there was a very strong and significant correlation (p-value<0.05) between the severity of odontogenic infections and CRP levels in odontogenic infection patients with a correlation coefficient r=0.84 (p=0.001). Conclusion: There is a positive correlation between the CRP levels and the severity score of odontogenic infection. The higher the CRP levels, the odontogenic infection will be more severe. Therefore, the CRP level might be considered an additional biomarker in supporting the severity of odontogenic infection in clinical practice.

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New admission scoring criteria for patients with odontogenic infections: a pilot study

Cited by 16 publications

References 7 publications

Increasing Use of Intensive Care Unit for Odontogenic Infection Over One Decade: Incidence and Predictors

Increasing Use of Intensive Care Unit for Odontogenic Infection Over One Decade: Incidence and Predictors

Changes in Vital Signs and Laboratory Tests in Patients with Odontogenic Infections Requiring Hospitalization

Correlation of odontogenic infection severity score with C-reactive protein levels on patients with odontogenic infection in Dr Hasan Sadikin General Hospital Bandung

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