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Related Concept Videos

Healthcare Associated Infections II: Preventive Measures01:22

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Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
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A Standardized Approach to Extra-Oral and Intra-Oral Digital Photography
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Validated image ordering guidelines for odontogenic infections.

A M Weyh1, J M Dolan1, E M Busby1

  • 1Department of Oral and Maxillofacial Surgery, University of Florida Jacksonville, Jacksonville, FL, USA.

International Journal of Oral and Maxillofacial Surgery
|November 4, 2020
PubMed
Summary
This summary is machine-generated.

A new imaging pathway significantly reduced unnecessary computed tomography (CT) scans for odontogenic infections. This guideline ensures appropriate imaging without compromising patient care.

Keywords:
computed tomographyguidelinesodontogenic infectionoral infectionpanoramic radiograph

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Emergency Medicine
  • Radiology

Background:

  • Overutilization of computed tomography (CT) is a significant issue in healthcare.
  • CT scans are frequently overused in the diagnosis and management of odontogenic infections.

Purpose of the Study:

  • To assess the effectiveness of a collaborative imaging pathway designed to reduce unnecessary CT scans for odontogenic infections.
  • To guide the selection of appropriate radiological imaging modalities in managing odontogenic infections.

Main Methods:

  • A prospective study involving adult patients presenting to the emergency department with confirmed odontogenic infections.
  • Implementation of a new imaging pathway developed by oral maxillofacial surgery and emergency medicine departments.
  • Statistical analysis including t-test, chi-squared test, and multiple regression (P < 0.05 significance).

Main Results:

  • The rate of unnecessary CT scans decreased from 56.6% to 25.6% after pathway implementation.
  • No patients were inappropriately denied medically necessary CT scans.
  • 100 patients were enrolled between February 1 and December 15, 2019.

Conclusions:

  • The developed imaging pathway effectively reduces unnecessary CT imaging for odontogenic infections.
  • The pathway can be implemented without negatively impacting patient outcomes.
  • Multidisciplinary collaboration is key to optimizing diagnostic imaging protocols.