구강 및 악안면 영역의 감염증에 관한 임상적 연구
A clinical study on the patients with infection of the oral and maiillofacial region
백진현, 이영수, 심광섭,
소속 상세정보
백진현 ( ) - 한양대학교
이영수 ( ) - 한양대학교
심광섭 ( ) - 한양대학교
KMID : 0360119960180020323
Abstract
This is a retrospection study on the patients with infection of the oral and maxillofacial region with the purpose of obtaining some useful data for diagnosis and treatment plan of that relatively common disease in dentistry.
The used materials of study were 87 in total, including 52 male patients, 35 female patients who diagnosed and treated at the Department of the Dentistry in Hanyang Medical College Hospital for the period of Jan. 1990 to Dec. 1994.
The author analyzed the distribution and incidence of sex, age, admission period, etiologic factors, etiologic teeth, treatment method of infections, pus culture, antibiotics sensibities and medications.
@ES The result obtained as follows :
@EN 1. The developmental incidences by sex was superior in male by the ratio of 1.5 : 1 and the infection was most frequently occureed during the third decades(35.6%)
2. The number of admitted patients elevated in February, March, and April, and average of admission period was 9.8 days.
3. Main etiologic teeth showed on lower molar region in adult(63%) and upper molar region in primary dentition(46.1%)
4. Medications were administrated in all of the cases. And surgical incision and drainage were performed in 53% and extraction of the causative teeth were performed in 63.3% of all cases.
5. The most common involved fascial spaces were Buccal space(41.4%), Infraorbital space(27.6%), Submandibular space(16.1%), in order, and 9 cases(10.3%) were Ludwig's Angina. In 68.2% of the patients, and infection involved only one fascial
space
and
in 21.8% of the patients, it involved to more fascial spaces.
6. The most causative organisms isolated from pus culture were Gram-positive facultative cocci(55.5%), and antibiotics sensitivities on the total isolated bacterial strains were exposed chloramphenicol(88.6%), Cephalothin(88.6%),
Erythromycin(81.5%),
Lincomycin(77.8%) in order, but it showed resistant on Gentamycin(58.3%), Tetracycline(56.5%), Methicillin(38.5%).
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