Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

A STUDY OF MICROORGANISMS IN ORAL & MAXILLOFACIAL INFECTED PATIENTS

구강악안면 영역의 치성 감염 환자에 대한 세균학적 연구

  • Kim, Il-Kyu (Dept. of Dentistry, College of Medicine, Inha University) ;
  • Youn, Seung-Hwan (Dept. of Dentistry, College of Medicine, Inha University) ;
  • Oh, Sung-Seop (Dept. of Dentistry, College of Medicine, Inha University) ;
  • Choi, Jin-Ho (Dept. of Dentistry, College of Medicine, Inha University) ;
  • Oh, Nam-Sik (Dept. of Dentistry, College of Medicine, Inha University) ;
  • Kim, Eui-Seong (Dept. of Dentistry, College of Medicine, Inha University) ;
  • Lee, Sung-Ho (Dept. of Dentistry, College of Medicine, Inha University) ;
  • Pai, Soo-Hwan (Dept. of Clinical Pathology, College of Medicine, Inha University) ;
  • Kang, Moon-Soo (Dept. of Clinical Pathology, College of Medicine, Inha University)
  • 김일규 (인하대학교 의과대학 치과학교실) ;
  • 윤승환 (인하대학교 의과대학 치과학교실) ;
  • 오성섭 (인하대학교 의과대학 치과학교실) ;
  • 최진호 (인하대학교 의과대학 치과학교실) ;
  • 오남식 (인하대학교 의과대학 치과학교실) ;
  • 김의성 (인하대학교 의과대학 치과학교실) ;
  • 이성호 (인하대학교 의과대학 치과학교실) ;
  • 배수환 (인하대학교 의과대학 임상병리학교실) ;
  • 강문수 (인하대학교 의과대학 임상병리학교실)
  • Published : 2000.12.31
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Abstract

Oral & maxillofacial infections are most commonly odontogenic in origin. Although such infections are usually self-limiting, they may occasionally spread deeply into fascial spaces or planes far from the initial site of involvement. If early diagnosis and appropriate therapy is delayed, complications such as mediastinal extension, retropharyngeal spread and airway obstruction could happen to the patients. For the study of the microbiology, we have retrospectively analysed the oral & maxillofacial infected patients in the Dept. of Oral & Maxillofacial Surgery. In-Ha University Hospital from 1997 September to 2000 April. The results were as follows 1. The male patients were more common than female, with male 61.9% and female 38.1%. 2. Dental originated infections were most common cause with the incidence of 62%. 3. Most common fascial space involved was buccal space 42cases(37.2%) followed by submandibular space 13cases(11.5%), infraorbital space 13cases(11.5%), masseteric space 11cases(9.7%), periapical abscess 11cases(9.7%). 4. The causative organisms isolated from the pus culture were Gram Positive Bacterial species, which were 46cases(31.9%) of Streptococcus viridans, 16cases(8.6%) of ${\alpha}$ and ${\beta}-hemolytic$ streptococcus, 4cases(3.1%) of Strep.-group D non enterococci, 7cases(5.1%) of Staphylococcus Coa. neg., 5cases(3.9%) of Staphylococcus aureus, 3cases(2.3%) of Enterococcus faecalis, 1case(0.8%) of Bacillus species, 1case(0.8%) of Peptostreptococcus, 1case(0.8%) of Clostridium and Gram negative bacterial species, which were 4cases(3.1%) of Acinetobacter baumannii, 2cases(1.6%) of Pseudomonas aeruginosa, 2cases(1.6%) of Burkholderia cepacia, 1case(0.8%) of Neisseria species, 1case(0.8%) of Klebsiella pneumoniae, 1case(0.8%) of Klebsiella oxytoca, 1case(0.8%) of Escherichia coli. 5. In drug sensitivity test, high resistant tendency was found in Penicillin system(Penicillin G 83.3%, Ampicillin 60%) and Aminoglycosides (Gentamycin 50%, Tobramycin 45.5%), but tertiary Cephalosporin system(Cefoperazone 9.1%, Ceftazidime 18.2%), and glycopeptides system (Teicoplanin 0%, Vancomycin 0%) showed lower resistancy.

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