Back to Search
Start Over
Microbiological examination and antibiotic sensitivity of infections in the head and neck. Has anything changed?
- Source :
- The British journal of oralmaxillofacial surgery. 52(7)
- Publication Year :
- 2013
-
Abstract
- Because of the growing concern about antibiotic resistance, we aimed to investigate whether the microbiological picture and antibiotic sensitivity of infections in the head and neck have changed in the last 30-40 years. We retrospectively studied 150 patients admitted for inpatient treatment of infections in the head and neck, and searched published reports from the last 30 – 40 years for comparison. There were 85 male and 65 female patients (mean age 39 years, range 1-95). Most infections originated from the teeth (n = 111) and skin (n = 16), and the submandibular (69%) and buccal (67%) spaces were involved most often. Multiple spaces were involved in 94 patients. Swabs were taken for culture and sensitivity in 102 cases, and microorganisms were isolated in 91 (89%), of which 67 (74%) were aerobic infections and 24 (26%) were anaerobic. Bacteria were isolated in 87 (96%) cultures of which 60 (69%) were Gram-positive. Gram-positive cocci were isolated in 62% of cultures. The most common bacteria isolated were streptococci. Seventy percent of the bacteria were sensitive to amoxicillin and 84% to amoxicillin and metronidazole; 14% (Staphylococcus aureus from infections of the skin) were resistant to penicillin. A comparison of our results with those found in previous reports shows no significant change in the microbiological picture and antibiotic sensitivity of odontogenic infections in the head and neck over the last 30 – 40 years. Amoxicillin still treats these infections effectively. © 2014 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
- Subjects :
- Adult
Male
medicine.medical_specialty
Staphylococcus aureus
Adolescent
medicine.drug_class
Antibiotic sensitivity
Penicillin Resistance
Antibiotics
Microbial Sensitivity Tests
medicine.disease_cause
Bacteria, Anaerobic
Young Adult
Antibiotic resistance
Internal medicine
Metronidazole
Streptococcal Infections
Submandibular Gland Diseases
Medicine
Humans
Child
Aged
Retrospective Studies
Aged, 80 and over
biology
Bacteria
business.industry
Periapical Diseases
Amoxicillin
Infant
Middle Aged
Staphylococcal Infections
biology.organism_classification
Viridans Streptococci
Surgery
Penicillin
Gram-Positive Cocci
Otorhinolaryngology
Tooth Diseases
Child, Preschool
Female
Oral Surgery
business
medicine.drug
Subjects
Details
- ISSN :
- 15321940
- Volume :
- 52
- Issue :
- 7
- Database :
- OpenAIRE
- Journal :
- The British journal of oralmaxillofacial surgery
- Accession number :
- edsair.doi.dedup.....573acb8765238dad30c4968ae0404162