Community Acquired Methicillin-Resistant Staphylococcus aureus Facial Abscesses: Case Reports

Carter, Todd G.; Dierks, Eric J.; Bracis, Raymond; Beirne, O. Ross

doi:10.1016/j.joms.2005.03.018

Cited by 14 publications

(3 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Decades of overuse and misuse of antibiotics have lead to an increasing incidence of methicillin-resistant Staphylococcus aureus (MRSA), once a hospital acquired infection, but nowadays has been detected in increasing number in facial abscesses [24]. The aim of antibiotic prophylaxis in surgery is to prevent the possible appearance of infection in the surgical wound however, this practice for M3 surgery has been an issue of controversy.…”

Section: Discussionmentioning

confidence: 99%

A Single Dose of Amoxicillin and Dexamethasone for Prevention of Postoperative Complications in Third Molar Surgery: A Randomized, Double-Blind, Placebo Controlled Clinical Trial

et al. 2013

View full text Add to dashboard Cite

BackgroundThe aim of this study was to assess the efficacy of a single prophylactic dose of amoxicillin and/or dexamethasone in preventing postoperative complications (PC) after a surgical removal of a single mandibular third molar (M3).MethodsThis study is a randomized, placebo controlled clinical trial. Four groups were included: Group 1 (G1) included a prophylactic dose of 2 g of amoxicillin and 8 mg of dexamethasone; Group 2 (G2) included a prophylactic dose of 2 g of amoxicillin and 8 mg of placebo; Group 3 (G3) included a prophylactic dose of 8 mg of dexamethasone and 2 g of placebo and; Group 4 (G4) placebo.ResultsFifty patients were included. It was observed one case of alveolar infection (2%) and two of alveolar osteitis (4%) resulting in three PC (6%). No statistical differences were observed between therapeutic groups for development of PC, trismus, pain and edema. The use of antibiotics showed an absolute risk reduction (ARR) for PC development of 3.52% and the number needed to treat (NNT) was 29.ConclusionProphylactic antibiotics and corticoid in a single dose regimen did not bring any benefit on M3 surgeries.

show abstract

Section: Discussionmentioning

confidence: 99%

A Single Dose of Amoxicillin and Dexamethasone for Prevention of Postoperative Complications in Third Molar Surgery: A Randomized, Double-Blind, Placebo Controlled Clinical Trial

et al. 2013

View full text Add to dashboard Cite

show abstract

“…24 A 2.7% MRSA infection rate in acute rhinosinusitis was reported by Huang and Hung. 25 Other reports of otolaryngologic CA-MRSA infections include series on pediatric neck abscesses, 26 facial abscesses, 27 head and neck cancer, 28 and post-rhytidectomy patients. 29 Our series adds to this growing accumulation of head and neck CA-MRSA infections.…”

Section: Figure 2 Patient 5 Images Show the Nasal Tip Abscess (A) The Hemitransfi Xion Incision And Drainage With Packing (B) And The Infmentioning

confidence: 99%

Otolaryngologic Community-Acquired MRSA Infections in a Suburban Private Practice

2010

View full text Add to dashboard Cite

A retrospective review was conducted of all cases of head and neck community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) infections seen in the senior author's suburban private practice during a 12-month period. An offi ce and hospital chart review was performed for all patients identifi ed with culture-positive CA-MRSA infections. Several parameters were evaluated, including site of infection, prior therapy, imaging, comorbid disease, culture and sensitivities, surgical and medical management, and long-term results. Of the 10 patients identifi ed, 3 had infections of nasal soft tissues, 3 had infections of the lips, 2 had infections of the paranasal sinus, 1 had an infection of the chin, and 1 had a diffuse, hemifacial infection. All patients were managed successfully with a combination of surgical drainage, wound care, and antibiotics. CA-MRSA is a burgeoning problem in otolaryngology. Appropriate management-including early recognition, appropriate empirical therapy, prompt and thorough surgical drainage with culture and sensitivities, correct antibiotic choice, and meticulous postoperative care-appears to offer excellent results. Key: I&D = incision and drainage; CAD = coronary artery disease; COPD = chronic obstructive pulmonary disease; hep C = hepatitis BCCA = basal cell (skin) cancer; CVA = cerebrovascular accident; OSA = obstructive sleep apnea.

show abstract

“…The oral and nasal cavities are regions that commonly harbor MRSA [3]. Recent reports of MRSA strains circulating at the community level are on the rise [4,5]. It has been emphasised in a retrospective study by Minoru Miyake et al [6] that elimination of MRSA is of critical importance in oral and maxillofacial surgical practice, as control is very difficult once infection of an oral tumor or oral wound with MRSA is established.…”

Section: Introductionmentioning

confidence: 99%

Guidelines of the Infectious Diseases Society of America for the Treatment of Methicillin-Resistant Staphylococcus aureus Infections: As Applied to Oral and Maxillofacial Clinical Practice

Bhargava

Deshpande

Sreekumar

et al. 2012

J. Maxillofac. Oral Surg.

View full text Add to dashboard Cite

show abstract

Community Acquired Methicillin-Resistant Staphylococcus aureus Facial Abscesses: Case Reports

Cited by 14 publications

References 11 publications

A Single Dose of Amoxicillin and Dexamethasone for Prevention of Postoperative Complications in Third Molar Surgery: A Randomized, Double-Blind, Placebo Controlled Clinical Trial

A Single Dose of Amoxicillin and Dexamethasone for Prevention of Postoperative Complications in Third Molar Surgery: A Randomized, Double-Blind, Placebo Controlled Clinical Trial

Otolaryngologic Community-Acquired MRSA Infections in a Suburban Private Practice

Guidelines of the Infectious Diseases Society of America for the Treatment of Methicillin-Resistant Staphylococcus aureus Infections: As Applied to Oral and Maxillofacial Clinical Practice

Contact Info

Product

Resources

About