Odontogenic infection involving the secondary fascial space in diabetic and non-diabetic patients: a clinical comparative study
Chang Je-Shin, Yoo Kil-Hwa, 윤성환, 하지운, 정승곤, 국민석, 박홍주, 유선열, 오희균,
소속 상세정보
( Chang Je-Shin ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
( Yoo Kil-Hwa ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
윤성환 ( Yoon Sung-Hwan ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
하지운 ( Ha Ji-Won ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
정승곤 ( Jung Seung-Gon ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
국민석 ( Kook Min-Suk ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
박홍주 ( Park Hong-Ju ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
유선열 ( Ryu Sun-Youl ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
오희균 ( Oh Hee-Kyun ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
KMID : 0355620130390040175
Abstract
Objectives: This retrospective study was performed to evaluate the clinical impact of diabetes mellitus on the prognosis in secondary space infection.
Materials and Methods: Medical records, radiographic images, computed tomography, and microbial studies of 51 patients (25 diabetic patients and 26 non-diabetic patients) were reviewed. Patients were diagnosed as secondary fascial space infections with odontogenic origin and underwent treatment at Chonnam National University Hospital, in Department of Oral and Maxillofacial Surgery, from January 2007 to February 2009.
Results: Compared to patients without diabetes, patients with diabetes were presented with the following characteristics: older age (diabetic patients: 62.9 years, non-diabetic patients, 47.8 years), more spaces involved (diabetic patients, 60%; non-diabetic patients, 27.3%), more intense treatment, longer hospitalization (diabetic patients, 28.9 days; non-diabetic patients, 15.4 days), higher white blood cell and C-reactive protein values, higher incidence of complication (diabetic patients, 40%; non-diabetic patients, 7.7%), and distinctive main causative microorganisms.
Conclusion: These results suggest that the prognosis of diabetic patients is poorer than that of non-diabetic patients in secondary space infections since they had greater incidence rates of involved spaces, abnormal hematologic findings, more complications, and additional procedures, such as tracheostomy.
키워드
Diabetes mellitus; Diabetes complications; Bacterial infections; Abscess; Cellulitis
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