Rational antimicrobial therapy in patients with purulent inflammatory diseases of maxillofacial area

Bogatov, B. B.; Denis, A.G.; Koliadov, N. F.

doi:10.17116/stomat201594137-39

Cited by 2 publications

(1 citation statement)

References 2 publications

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“…Resistance to co-trimoxazole, ciprofloxacin and gentamicin was 9.1%, to piperacillin -11.0%, to tetracycline, norfloxacin and amoxicillin/clavulanic acids -25.0%, to penicillin -40.0%. [13]. This data corresponds well with our results.…”

Section: Antibiotic Resistancesupporting

confidence: 93%

Bacterial spectrum of orofacial infections and their antibiotic resistance in Belarus

Kabanova

2018

Medical Research Journal

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The purpose of the present study was to was to determine the pathogenic bacterial spectrum and bacterial antibiotic resistance in maxillofacial region of Belarussian patients. Materials and methods. The study comprised inpatient who were treated by maxillofacial surgeons during 2014 in hospitals of Belarussian region: Brest, Mogilev, Vitebsk, Grodno and Gomel. It was a retrospective study, approval by the institution ethical committee. A microbiological sample was collected before antibiotic treatment. After meticulous disinfection of the skin around the planned extraoral incision site the aspiration of pus was attempted. If aspiration cannot be conducted, the samples were collected by swabbing the area after the incision and discharge of the pus. After sample collection, the material was immediately transported to the laboratory and further processed within 2 hours at the most. All specimens were then tested for the prevalence of the predominant bacteria and their antibiotic susceptibility Results. At the present stage in Belarussian hospitals the main agents isolating from inflammatory focus of the maxillofacial region are streptococci, staphylococci, enterobacteria, that corresponds with the global data. On the basis of the major pathogen antibiotic resistance data the following antibiotics for initial therapy until the receiving the results of bacteriological tests can be recommended: clindamycin (effective against all studied pathogenic species), ceftriaxone, fluoroquinolones (ciprofloxacin). Conclusions. It is necessary to conduct further systematic monitoring of microflora in patients with inflammatory diseases of maxillofacial area and studding the bacteria antibiotic resistance in order to improve the patient treatment efficiency.

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Section: Antibiotic Resistancesupporting

confidence: 93%

Bacterial spectrum of orofacial infections and their antibiotic resistance in Belarus

Kabanova

2018

Medical Research Journal

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Обоснование Исследования По Применению Электрорефлексотерапии В Составе Комплексного Лечения Пациентовс Фурункулами Челюстно-Лицевой Области И Шеи. Аналитический Обзор Литературы

Pohodenko-Chudakova¹,

Флерьянович²

2021

Стоматология. Эстетика. Инновации

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Введение. Неуменьшающееся число лиц с воспалительными процессами челюстно-лицевой области одонтогенного и неодонтогенного генеза свидетельствует о том, что вопрос поиска наиболее рациональных схем лечения и реабилитации указанной патологии на современном этапе не утратил своей актуальности.Цель. На основании данных специальной литературы проанализировать методы лечения пациентов с фурункулами челюстно-лицевой области и шеи, известные на текущий момент, выявить нерешенные вопросы и определить направления проведения дальнейших исследований.Материалы и методы. Проанализирована специальная литература, содержащая сведения об использовании методов лечения у пациентов с фурункулами челюстно-лицевой области и шеи на современном этапе. В перечень анализируемых источников специальной литературы вошли периодические издания за последние 15–20 лет.Результаты. У пациентов с диагнозом «фурункул челюстно-лицевой области», часто несмотря на клиническое выздоровление, реологические свойства крови отличаются от показателей здоровых людей и за период пребывания в стационаре не успевают нормализоваться, что указывает на недостаточную эффективность применяемых стандартных схем лечения. Учитывая ведущую роль эндогенных факторов в развитии исследуемых воспалительных процессов, становится очевидной необходимость коррекции иммунной, эндокринной, микроциркуляторной систем организма пациента в целом. Это может успешно обеспечить электрорефлексотерапия, имеющая преимущества перед классическим иглоукалыванием, так как она неинвазивна, нетравматична и хорошо переносится пациентами.Заключение. Каждый из перечисленных фактов свидетельствует о необходимости и целесообразности разработки наиболее эффективного метода электрорефлексотерапии для пациентов с фурункулами челюстно-лицевой области и шеи, который может быть использован в составе комплексного послеоперационного лечения в ближайшем послеоперационном периоде. Introduction. The constant number of patients with inflammatory processes in the maxillofacial region of odontogenic and neodontogenic origin indicates that the question of finding the most rational treatment and rehabilitation of this pathology has not lost its relevance.The purpose of the work is to analyze the methods of treatment of patients with boils in the maxillofacial region and neck known at the moment to identify unresolved issues and determine the direction of further research.Objects and methods. Special literature containing information on the treatment methods in patients with boils of the maxillofacial region and neck at the present stage is analyzed. The list of analyzed sources of special literature includes: periodicals for the last 15-20 years.Results. In patients with diagnosis of maxillofacial furuncle often despite clinical recovery, the rheological properties of blood differ from those of healthy people and do not have time to normalize during their stay in the hospital which indicates that the standard treatment used are not effective enough. Taking into account the leading role of endogenous factors in the development of the studied inflammatory processes, it becomes obvious that it is necessary to correct the immune, endocrine, and microcirculatory systems of the patient’s body as a whole. This can be successfully provided by electro-acupuncture which has advantages over classical acupuncture, since it is not invasive, not traumatic and is well tolerated by patients.Conclusion. Each fact indicates the necessity and expediency of developing the most effective method of electro-acupuncture for patients with boils of the maxillofacial region and neck which can be used as part of a comprehensive postoperative treatment in the immediate postoperative period.

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Rational antimicrobial therapy in patients with purulent inflammatory diseases of maxillofacial area

Cited by 2 publications

References 2 publications

Bacterial spectrum of orofacial infections and their antibiotic resistance in Belarus

Bacterial spectrum of orofacial infections and their antibiotic resistance in Belarus

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