Clinical analysis of oral and maxillofacial spaces infections in diabetic patients:a report of 31 cases
- VernacularTitle:糖尿病并发口腔颌面部间隙感染31例临床分析
- Author:
Jun CUI
;
Ningyi LI
;
Ling JIANG
;
Zeqiu YU
;
Guangchun JIN
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus;
Stomatognathic diseases
- From:
Chinese Journal of General Practitioners
2008;7(2):117-118
- CountryChina
- Language:Chinese
-
Abstract:
The characterization and management of oral and maxillofacial spaces infections in diabetic patients were studied in order to determine the pattern of this clinical condition and formulate a management plan.There were 31 cases with average age of 61 years(s=9);the mean hospitalization time was 14 days(s=6);the average fasting blood glucose level on admission was 10.4 mmol/L.Of the 31 patients 20 were multiple-space infections and 11 were single-space infections.13 patients had major complications during admission.Odontogenic infection was the most common cause of the space infections.Streptococcus viridians and staphylococcus aureus were common organisms(5/19,4/19)identified through pus and/or blood cultures.Early surgical incision and drainage,perfect blood glucose control,intravenous antimicrobial therapy,preventing asphyxia and managing major complications are necessary and effective approaches for the management plan.
