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

J D Kün-Darbois1, A Kahn1, R H Khonsari2

  • 1Department of Oral and Maxillo-facial surgery, Angers University Hospital, Angers, France.

Journal of Stomatology, Oral and Maxillofacial Surgery
|February 17, 2021
PubMed
Summary
This summary is machine-generated.

The COVID-19 lockdown in France saw a 44% decrease in odontogenic cellulitis cases. This study investigated the incidence of head and neck abscesses during the pandemic lockdown compared to previous years.

Keywords:
COVID-19CellulitisDental infectionLockdownNon-steroidal anti-inflammatory drugsTooth infection

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Area of Science:

  • Dentistry
  • Oral and Maxillofacial Surgery
  • Infectious Diseases

Background:

  • The first wave of the COVID-19 pandemic in France led to a national lockdown.
  • An observed decrease in odontogenic cellulitis incidence during this period prompted further investigation.

Purpose of the Study:

  • To compare the incidence of odontogenic cellulitis during the 2020 lockdown with the same periods in 2018 and 2019.
  • To analyze the impact of the lockdown on head and neck abscess admissions.

Main Methods:

  • Retrospective, multicentric study involving French public hospital maxillofacial surgery departments.
  • Data collected on patients admitted for surgical drainage of head and neck abscesses of odontogenic origin.
  • Comparison between the 2020 lockdown period and control periods in 2018/2019 using French diagnostic codes.

Main Results:

  • A significant nationwide decrease of 44% in odontogenic cellulitis admissions was reported in 2020.
  • 187 patients were admitted in 2020, compared to 334 and 333 patients in 2018/2019, respectively.
  • The decrease suggests a notable impact of the lockdown on healthcare-seeking behavior or management.

Conclusions:

  • The 2020 lockdown period was associated with a substantial reduction in odontogenic cellulitis cases requiring surgical intervention.
  • Hypothetical reasons include altered patient behavior, earlier management, or changes in medication availability.
  • Further research is needed to elucidate the exact causes and inform future prevention strategies for cellulitis.