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| 2010-22 |
| 22-1 |
ISSN (Print) 1013-9052
EISSN 1658-3558
P.O. Box 52500,
Riyadh 11563,
Kingdom of Saudi Arabia
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966-1-467-7328 |
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933-1-467-7308 / 966-1-467-7534 |
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saudidj@ksu.edu.sa |
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A retrospective analysis of orofacial infections requiring hospitalization in Al Madinah, Saudi Arabia
Mushtaq I. Parker. MDS The study was designed to analyze the recorded data on patients who had odontogenic and non-odontogenic oro-facial infections and who required hospitalization. A 6-year (1413-1418 All) retrospective study of all patients with orofacial infections, who were admitted to King Fahad Hospital, Al-Madinah Al-Munawwarah was carried out by reviewing the medical records. The variables considered were: age. gender, mode of admission, source of infection, anatomical fascial spaces involved, trismus, associated preexisting medical conditions, various treatment modalities instituted, types of antibiotics administered, causative microorganisms, length of stay in the hospital, and any complications encountered. A total of 373 patients were hospitalized of which 197 (52.8%) were males and 176 (47.2%) were females. Three hundred and forty-three (92%) were admitted ihrough the emergency department and 30 (8%) through the out-patient department. Those who had trismus were 196 patients (52.55%). Of the odontogenlc infections, the offending teeth in ther descending order of frequency were, the mandibular first permanent molar 124 cases (33%), the mandibular third molar 38 cases (10%), mandibular second permanent molar 34 cases (9.1%), mandibular second deciduous molar 27 cases (7.2%), maxillary first permanent molar 20 cases (5%), mandibular first deciduous molar 13 cases (3.5%), maxillary deciduous first and second molars 9 cases (2.4%). Other
teeth involved were 46 cases (12%). the fascial spaces involved in the descending order of frequency were submandibular 238 cases (63.81%), buccal 53 cases (14.21%) and submasseteric 45 cases (12.06%). The causative microorganisms commonly found were streptococci and staphylococci. Ampicrllin, Fiagyl and Keflex were the most routinely administered antibiotics. The mean length of stay was four days and there were only two cases with complications. Orofacial infections constituted 25% of the total oral and maxillofacial surgery admissions. The younger age group was significantly involved. There was the usual pattern of spread of infection. The length of stay in the hospital was similar to other reports. No anaerobic organisms were cultured. This paper has pointed out to an extent some shortcomings in our public dental preventive programs.
Saudi Dental Journal 2001;13(2):96-100.
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