Complications of dental infections due to diagnostic delay during COVID-19 pandemic

Altıntaş, Emel

doi:10.1136/bcr-2021-247553

Cited by 5 publications

(4 citation statements)

References 21 publications

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“…This constitutes an urgent situation requiring immediate thoracotomy and drainage [8]. Other major complications are cardiopulmonary ones, as well as Lemierre's syndrome describing the thrombophlebitis of the IJV which can also cause metastatic emboli to other organs and the lungs [2,3,[7][8][9][10]15,[18][19][20].…”

Section: Discussionmentioning

confidence: 99%

“…The patients’ anxiety about not transmitting COVID-19, as well as the governmental instructions to stay home and avoid unnecessary visits to the hospital to secure the national health care system, led to a prolonged stay of the patients at home with persisting symptoms of cervicofacial infection. As a result, they were deterred from attending the hospital at the early stages of infection, thus deteriorating their clinical manifestation when presented at the emergency unit [ 6 , 10 , 14 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…Poor oral health in Greece was extrapolated by the restriction of access to primary dental care due to the pandemic, leading to an increase in patients requiring hospitalization and high-dependency care [ 5 , 6 , 15 ]. As indicated in this study, eight times more patients presented at the OMFS clinic with signs and symptoms of severe deep neck infections (23 patients during the COVID period versus 3 during the pre-COVID period).…”

Section: Discussionmentioning

confidence: 99%

“…In most cases, a surgical reintervention was mandatory. Therefore, the total hospital stay was increased [ 2 , 6 , 8 , 9 , 14 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

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The Effect of the COVID-19 Pandemic on Odontogenic Cervicofacial Infections in a Single Center in Greece

Louizakis,

Tatsis,

Paraskevopoulos

et al. 2024

Cureus

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Introduction: Odontogenic cervicofacial infections are still an ongoing problem, requiring immediate hospital admittance and management. The aim of this study is to reflect the number of patients with cervicofacial infections who were admitted during the coronavirus disease 2019 (COVID-19) pandemic period in a single, point of reference center in Northern Greece as well as analyze the quantitative and qualitative parameters of patient characteristics and management data.Methods: This was a retrospective cohort study that included all the patients with cervicofacial infections who were admitted to our unit during the COVID-19 pandemic, specifically between 2020 and 2021. For comparative reasons, patients admitted with cervicofacial infections between 2019 and 2020 (pre-COVID period) were analyzed.Results: In total, 341 patients fulfilled the criteria for this study. Specifically, the number of admitted patients was 151 in the pre-COVID era instead of 190 patients in the pandemic. The mean age of the patients was 45.3 years, with a slight male predominance (54.7% males to 45.3%). The mean duration of hospitalization was 2.5 days in the pre-COVID period instead of 3.42 days in the pandemic. Interestingly, in the pandemic, eight times more patients were admitted to the ICU post-operatively, in contrast to the pre-COVID period (23 vs 3 patients). Also in the COVID period, almost 54.9% of the patients presented with fever and 49.6% with trismus. Moreover, the submandibular space involvement was the most common space of infection in both COVID and pre-COVID groups with (58.9% and 49.7%) respectively. In one-third of all cases, a post-extraction infection of a third molar was the main cause of abscess.Conclusion: Cervicofacial infections during the COVID-19 pandemic appeared with more severe symptoms and resulted in an increased number of patients who needed admittance to the intensive care unit, in contrast to the pre-COVID era. Also, the mean length of stay was increased for a day at the same period. This study could be used as an example for further research, in case of similar pandemic situations in the future.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…In most cases, a surgical reintervention was mandatory. Therefore, the total hospital stay was increased [ 2 , 6 , 8 , 9 , 14 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The Effect of the COVID-19 Pandemic on Odontogenic Cervicofacial Infections in a Single Center in Greece

Louizakis,

Tatsis,

Paraskevopoulos

et al. 2024

Cureus

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Ludwig's Angina: Higher Incidence and Worse Outcomes Associated With the Onset of the Coronavirus Disease 2019 Pandemic

Canas,

Fonseca,

De Filippis

et al. 2023

Surgical Infections

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Dental Surgical Activity in Hospitals during COVID-19: A Nationwide Observational Cohort Study

Booth,

Fowler,

Pearse

et al. 2024

JDR Clinical & Translational Research

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Introduction: The number of surgical extractions performed in hospitals in England remains unclear. This study reports the volume of surgical extractions conducted in hospitals and change in activity during the COVID-19 pandemic. Methods: We conducted a nationwide observational cohort study using Hospital Episode Statistics (HES) in England for patients undergoing surgical removal of a tooth (defined using OPSC-4 code F09) between April 1, 2015, and December 31, 2020. Procedures were stratified by age, gender, and urgency (elective or nonelective), reported using descriptive statistics, number, and percentage. We conducted post hoc modeling to predict surgical activity to December 2023. In addition, we contrasted this with aggregate national data on simple dental extraction procedures and drainage of dental abscesses in hospital as well as dental activity in general practice. Results: We identified a total of 569,938 episodes for the surgical removal of a tooth (females 57%). Of these, 493,056/569,938 (87%) were for adults and 76,882/569,938 (13%) children ≤18 years. Surgical extractions were most frequent in adult females. Elective cases accounted for 96% ( n = 548,805/569,938) of procedures. The median number of procedures carried out per quarter was 27,256, dropping to 12,003 during the COVID-19 pandemic, representing a 56% reduction in activity. This amounted to around 61,058 cancelled procedures. Modeling predicts that this activity has not returned to prepandemic levels. Conclusions: The number of surgical extractions taking place in hospitals during the pandemic fell by 56%. The true impact of this reduction is unknown, but delayed treatment increases the risk of complications, including life-threatening infections. Knowledge Transfer Statement: The result of this study provides an evidence-based overview of the trends relating to surgical extractions of teeth in England taking place in hospitals. This information can be used to inform service and workforce planning to meet the needs of patients requiring surgical extractions. The data also provide an insight into the oral health needs of the population in England.

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Complications of dental infections due to diagnostic delay during COVID-19 pandemic

Cited by 5 publications

References 21 publications

The Effect of the COVID-19 Pandemic on Odontogenic Cervicofacial Infections in a Single Center in Greece

The Effect of the COVID-19 Pandemic on Odontogenic Cervicofacial Infections in a Single Center in Greece

Ludwig's Angina: Higher Incidence and Worse Outcomes Associated With the Onset of the Coronavirus Disease 2019 Pandemic

Dental Surgical Activity in Hospitals during COVID-19: A Nationwide Observational Cohort Study

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