New Algorithms of Diagnostics of Heavy Complications of Acute Odontogenic Infection

Громов, А. Л.; Gubin, M A; Иванов, С.В.; Tishkov, D.S

doi:10.18821/1728-2802-2018-22-2-82-87

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…For infections in lower head and neck, the airway could even be obstructed [3][4][5]. Other life-threatening complications include osteomyelitis, descending mediastinitis, necrotizing fasciitis, sepsis and Lemierre's syndrome [6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Comparative Study of Multifunctional Irrigation‐assisted Vacuum Drainage, Vacuum Sealing Drainage and the Penrose Drain in Treating Severe Multi‐space Deep Fascial Infection in the Head and Neck

Qian

He²,

Qi³

et al. 2022

World j. surg.

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Background We aimed to compare multifunctional irrigation‐assisted vacuum drainage (MIVD), vacuum sealing drainage (VSD) and the Penrose drain in treating severe multi‐space deep fascial infection (DFI) in head and neck. Methods A retrospective study was conducted on 113 patients who had suffered from severe multi‐space DFI in head and neck and underwent surgical treatment. Patients were divided into the MIVD group, the VSD group, and the Penrose group according to their treatment. Baseline characteristics and clinical outcome data regarding infection control, clinicians’ workload, surgical procedure required, and cost were analyzed. Results Duration of antibiotic administration was significantly shorter using MIVD and VSD than Penrose drains (p = 0.002 with MIVD, p = 0.008 with VSD). Hospital stay in the MIVD group was shorter than the Penrose group (p = 0.034). Compared to the other two groups, more times of manual irrigation were needed in higher frequency in the Penrose group (p < 0.001). Longer Incision and more surgical operation were required in the VSD group than the other two groups (p < 0.001). The treatment cost in the VSD group was higher than the MIVD group (p = 0.045) and the Penrose group (p < 0.001). Conclusions In the treatment of severe multi‐space DFI in head and neck, MIVD and VSD are superior to the Penrose drain in infection control and reduction in clinicians’ workload. Meanwhile, MIVD, with fewer surgical procedures required and less cost, seems to be a more promising method than VSD.

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Section: Introductionmentioning

confidence: 99%

Comparative Study of Multifunctional Irrigation‐assisted Vacuum Drainage, Vacuum Sealing Drainage and the Penrose Drain in Treating Severe Multi‐space Deep Fascial Infection in the Head and Neck

Qian

He²,

Qi³

et al. 2022

World j. surg.

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“…The widespread use of instrumentation and manipulation has led to 60-80 % of trauma mediastenitis, 20-38 % of such mediastenitis have been caused by foreign body damage, and 0.5-3.2 % have been caused by colto-doStab and gunshot wounds to the chest [10; 11]. There is currently damage from fibrous fibrous endoscopes, endotracheal tubes, gastrointestinal probe, esophageal buffalo, cardiovasculator [12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Epidemiological and clinical features of the course of postoperative sternomediastinitis (clinical case)

Mironenko

Сопрун

Tovanova

et al. 2021

Vestnik SPbSU. Medicine

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Health-care-related infections are becoming more relevant today. The difficulty and largely of diagnosis increased impact of adverse effects (postoperative period, increase of bed-days, use of irrational antibacterial therapy, use of excessive methods of disinfection) factors of the hospital environment on the human body, contributing to the development of severe postoperative complications, among them, sternomediastinitis occupies a special place in cardiac surgery. The clinical case we represent clearly demonstrates the atypical flow of sternominetite caused by the hypervirulent strain Klebsiella pneumoniae blaNDM-Type. Generally, sternomediastinitis causes Staphylococcus epidermidis, Staphylococcus haemolyticus. Every week the patient stays in the cardiothoracic ward of the hospital is associated with a 15 % increase in the risk of mediastinitis development. The data indicate the need for continuous epidemiological monitoring of the relevant microorganisms that are potential agents of nosocomial infections. Thus, adequate diagnosis, choice of rational treatment tactics and effective antibacterial therapy significantly improve the prognosis of the current of a given severe disease. Early epidemiological diagnosis will help to reduce the risk of the development and spread of hospital-acquired infections in the post-operative period.

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Ethiopathogenetic Aspects Acute Odontogenic Infection

Ksembaev

Nesterova

Torgashova

et al. 2021

Actual Problems in Dentistry

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Subject. A review of the literature on the topical problem of dentistry — the etiology and pathogenesis of acute odontogenic purulent-inflammatory diseases is presented. The purpose of the research is to study the materials of publications. dedicated to the etiopathogenetic aspects of acute odontogenic infection. Methodology. The etiology and pathogenesis of acute odontogenic purulent-inflammatory diseases are described in detail, in the light of modern concepts. Results. The unfavorable factors influencing the increase in the frequency of acute odontogenic purulent-inflammatory diseases and the worsening of the clinical course are presented. It is noted that these diseases are explained by the effect of microbial associations, one of the frequent representatives of which are anaerobic bacteria, which significantly worsen the clinical picture of the disease. All theories of the pathogenesis of jaw osteomyelitis (vascular, allergic and neuro-trophic) are considered. At the same time, it was noted that the vascular, allergic and neuro-reflex components in the emergence and development of osteomyelitis of the jaws are realized against the background of a decrease in the level of general immunological and specific reactivity of the whole organism, as well as the failure of local immunity. Particular importance is attached to disorders of the systems of neuroregulation and microcirculation. It is noted that sensitization and neuroreflex effects on the inflammation focus are factors contributing to the transition of the reversible phase of inflammation (osteitis) to the irreversible one (osteomyelitis), and microcirculation disorders in the inflammation focus are characterized as the main stage in the chain of pathophysiological processes leading to irreversible changes. Attention is drawn to the fact that in recent years, great importance in maintaining homeostasis in acute odontogenic pyoinflammatory diseases has been given to the antioxidant system, which is directly involved in the regulation of the molecular mechanisms of nonspecific resistance of the organism to the damaging action of various pathogenic factors. Findings. The results of the review indicate that knowledge of the peculiarities of the etiology and pathogenesis of acute odontogenic pyoinflammatory diseases is necessary for correct diagnosis, timely and adequate treatment, prognosis and prevention of complications. However, it should be recognized that this problem continues to remain relevant to this day due to the complexity of its study.

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New Algorithms of Diagnostics of Heavy Complications of Acute Odontogenic Infection

Cited by 3 publications

References 5 publications

Comparative Study of Multifunctional Irrigation‐assisted Vacuum Drainage, Vacuum Sealing Drainage and the Penrose Drain in Treating Severe Multi‐space Deep Fascial Infection in the Head and Neck

Comparative Study of Multifunctional Irrigation‐assisted Vacuum Drainage, Vacuum Sealing Drainage and the Penrose Drain in Treating Severe Multi‐space Deep Fascial Infection in the Head and Neck

Epidemiological and clinical features of the course of postoperative sternomediastinitis (clinical case)

Ethiopathogenetic Aspects Acute Odontogenic Infection

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