Significant decrease of facial cellulitis admissions during COVID-19 lockdown in France: A multicentric comparative study

Kün‐Darbois, Jean‐Daniel; Kahn, A; Khonsari, Roman Hossein; Gueutier, A; Baldini, Nicolas; Corre, Pierre; Bertin, Hélios; Provost, M.; Lesclous, Philippe; Ansidei, C M; Majoufre, Claire; Louvrier, Aurélien; Meyer, Christophe; Ammari, H; Rougeot, A; Moret, Anna; Poisbleau, D; Nicot, Romain; Marti-Flich, L.; Ferri, Joël; Lutz, Jean-Christophe; Prevost, Raphaëlle; Kimakhe, J; Poulet, Vinciane; Lauwers, F.; Veyssière, A.; Benateau, Hervé; Dang, N. Pham; Barthélémy, Isabelle; Foletti, J.M.; Chossegros, C.; Queirós, Cristina; Laure, B.; Paré, Arnaud; Boutray, Marie de

doi:10.1016/j.jormas.2021.02.001

Cited by 6 publications

(5 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our hypothesis was confirmed, as the COVID-19 pandemic led to a significant 37% reduction in the total number of patients with orofacial and respiratory infections in 2020 compared to previous years (p < .001). Similar findings have been reported in France and the UK [8,9]. In our results, the reduction was dramatic in the early months of the pandemic and although it recovered slightly, it did not normalize during the study period (Fig.…”

Section: Discussionsupporting

confidence: 91%

Effect of COVID-19 pandemic on orofacial and respiratory infections in ear, nose, and throat and oral and maxillofacial surgery emergency departments: a retrospective study of 7900 patients

Haapanen

Uittamo

Furuholm

et al. 2021

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

Objectives The study purpose was to evaluate the effects of the COVID-19 pandemic on the rate and disease profile of orofacial and respiratory infections in oral and maxillofacial surgery (OMFS) and ear, nose, and throat (ENT) emergency units. Materials and methods Records of patients with orofacial or respiratory infection, or infectious symptoms, diagnosed in the OMFS or ENT Emergency Departments of the Helsinki University Hospital, Helsinki, Finland between 1st March and 30th October 2020 and the corresponding periods in 2018 and 2019 were reviewed. The main outcome variable was the occurrence of studied infections during the evaluated periods. Other study variables were age, gender, residence area, speciality, specific cause for the emergency department visit and admission to ward. Results There was a significant 37% decrease in the number of infection patients in 2020 compared to the years 2019 and 2018 (1894 vs. 2929 and 3077, respectively, p < .001). A mean decrease of 51% (from 1319 and 1249 patients in 2018 and 2019, respectively, to 592 patients in 2020) was seen in the “Other ENT respiratory infection” category. ENT patients were 51% less likely to be admitted to the ward in 2020 compared to 2019 and 2018 (p = .013). Conclusion A significant decrease was observed in the volume of emergency department visits for orofacial and respiratory infections during the COVID-19-pandemic in 2020 compared to the non-COVID periods. Clinical relevance It seems that social distancing, facial mask wearing, and other infection prevention precautions have changed the accustomed patient profile in orofacial and respiratory infections.

show abstract

Section: Discussionsupporting

confidence: 91%

Effect of COVID-19 pandemic on orofacial and respiratory infections in ear, nose, and throat and oral and maxillofacial surgery emergency departments: a retrospective study of 7900 patients

Haapanen

Uittamo

Furuholm

et al. 2021

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…When we asked our patients about the reasons for their late presentation, many patients mentioned fear of COVID-19 infection during their inpatient stay or strict regulations when entering a hospital. This possibility of fear of infection was also discussed as a reason for late presentation in a study by Kün-Darbois et al [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…Another study conducted in France, with a longer observation period from March to December 2020, reported a general decrease in the number of patients presenting with facial inflammation during the first year of the pandemic [ 15 ]. Although we also see a slight decrease in the number of cases (compared to the two previous years: mean 10%), the two studies are not fully comparable, as our study focuses more on abscess formation and treatment modality.…”

Section: Discussionmentioning

confidence: 99%

The COVID-19 pandemic and its possible impact on the treatment of odontogenic and intraoral abscesses

Grill,

Rothlauf,

Ritschl

et al. 2023

Head Face Med

View full text Add to dashboard Cite

Most odontogenic and intraoral abscesses can be treated on an outpatient basis with local anesthesia. However, severe disease progression may require an incision under general anesthesia (GA) with postoperative inpatient treatment. This study aimed to evaluate the first “COVID-19 year” in Germany and compare the first “COVID-19 year” with the two previous years. All consecutive cases with odontogenic or intraoral abscesses treated in an outpatient or inpatient setting between 2018 and 2021 were included in this study. Data were collected, including the type of anesthesia, length of hospital stay, and healthcare costs. Despite the lower total number of abscess treatments in the first year of COVID-19 (n = 298 patients) than that in the two previous years (n = 663 patients), the number of advanced abscesses requiring intervention under GA was significantly higher (p < 0.001). This increased burden of care was also reflected in increased healthcare costs. The measures taken against the COVID-19 pandemic had an impact on the course of other diseases, for example, odontogenic and intraoral abscesses. The results showed an emerging conflict in patient care during the pandemic crisis that should be considered in possible future pandemics.

show abstract

“…Consequently, even more patients were admitted to the emergency unit with the above-mentioned symptoms, which would otherwise be prevented at a primary stage with just a check-up at the dentist [ 6 , 8 , 17 ]. A study by Kün-Darbois et al reported a 44% decrease in the number of patients who were admitted with odontogenic neck cellulitis during the COVID period, a finding, however, that could not be thoroughly explained by the same authors [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

The Effect of the COVID-19 Pandemic on Odontogenic Cervicofacial Infections in a Single Center in Greece

Louizakis,

Tatsis,

Paraskevopoulos

et al. 2024

Cureus

View full text Add to dashboard Cite

Introduction: Odontogenic cervicofacial infections are still an ongoing problem, requiring immediate hospital admittance and management. The aim of this study is to reflect the number of patients with cervicofacial infections who were admitted during the coronavirus disease 2019 (COVID-19) pandemic period in a single, point of reference center in Northern Greece as well as analyze the quantitative and qualitative parameters of patient characteristics and management data.Methods: This was a retrospective cohort study that included all the patients with cervicofacial infections who were admitted to our unit during the COVID-19 pandemic, specifically between 2020 and 2021. For comparative reasons, patients admitted with cervicofacial infections between 2019 and 2020 (pre-COVID period) were analyzed.Results: In total, 341 patients fulfilled the criteria for this study. Specifically, the number of admitted patients was 151 in the pre-COVID era instead of 190 patients in the pandemic. The mean age of the patients was 45.3 years, with a slight male predominance (54.7% males to 45.3%). The mean duration of hospitalization was 2.5 days in the pre-COVID period instead of 3.42 days in the pandemic. Interestingly, in the pandemic, eight times more patients were admitted to the ICU post-operatively, in contrast to the pre-COVID period (23 vs 3 patients). Also in the COVID period, almost 54.9% of the patients presented with fever and 49.6% with trismus. Moreover, the submandibular space involvement was the most common space of infection in both COVID and pre-COVID groups with (58.9% and 49.7%) respectively. In one-third of all cases, a post-extraction infection of a third molar was the main cause of abscess.Conclusion: Cervicofacial infections during the COVID-19 pandemic appeared with more severe symptoms and resulted in an increased number of patients who needed admittance to the intensive care unit, in contrast to the pre-COVID era. Also, the mean length of stay was increased for a day at the same period. This study could be used as an example for further research, in case of similar pandemic situations in the future.

show abstract

Significant decrease of facial cellulitis admissions during COVID-19 lockdown in France: A multicentric comparative study

Cited by 6 publications

References 23 publications

Effect of COVID-19 pandemic on orofacial and respiratory infections in ear, nose, and throat and oral and maxillofacial surgery emergency departments: a retrospective study of 7900 patients

Effect of COVID-19 pandemic on orofacial and respiratory infections in ear, nose, and throat and oral and maxillofacial surgery emergency departments: a retrospective study of 7900 patients

The COVID-19 pandemic and its possible impact on the treatment of odontogenic and intraoral abscesses

The Effect of the COVID-19 Pandemic on Odontogenic Cervicofacial Infections in a Single Center in Greece

Contact Info

Product

Resources

About