非牙引起的面部感染 - - 一项17年的回顾性队列研究
Ruta Rasteniene1, Gabriele Simenaite2, Linas Zaleckas2
1Institute of Odontology, Faculty of Medicine, University of Vilnius, Žalgirio Str. 117, 08217, Vilnius, Lithuania. Rasteniene.ruta@gmail.com.
Oral and maxillofacial surgery
|June 8, 2023
概括
这项长达17年的关于非牙发作性面感染的研究发现,年龄较大,吸烟和多个受影响区域预测了更长的住院时间. 葡萄球菌种最常见,具有对青素的高耐药性.
科学领域:
- 口腔和牙面部外科手术
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 非牙引起的面感染是一个重大的临床挑战.
- 了解它们的流行病学和微生物学对于有效治疗至关重要.
- 以前的研究范围和持续时间各不相同,需要更新数据.
研究的目的:
- 进行对17年来非牙病原性大面部感染的综合性审查.
- 分析流行病学趋势,微生物特征和治疗结果.
- 为了确定长时间住院的预测因素.
主要方法:
- 对2003-2019年4040名患者病历进行了回顾性分析.
- 数据收集包括人口统计,住院时间,感染源,受影响地区,治疗方法和微生物发现.
- 进行了抗生素敏感性测试.
主要成果:
- 年均发病率为237例;平均住院时间为7.3天.
- 男女比例为1.9:1;患者平均年龄为42.1岁.
- 高龄 (≥65岁),吸烟,全身性疾病,多个受影响的区域和额外的手术预测了更长的住院时间. 巴克特罗伊德,普雷沃特拉和斯塔菲洛科克斯表现出较高的青素耐药性.
结论:
- 非牙引起的面感染需要量身定制的治疗策略.
- 长时间住院的预测因素包括患者因素和疾病复杂性.
- 发现的主要微生物是葡萄球菌种.
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