Anaerobic bacteria in dentoalveolar infections

The bacteriology of 57 dentoalveolar infections was studied using optimal techniques to collect, transport and process specimens. There was an average of 4 bacterial species per specimen, and only 1/3 of the specimens held aerobes. Among the aerobic bacteria, streptococci dominated and among the ana...

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Veröffentlicht in:International journal of oral surgery 1981-01, Vol.10 (5), p.313-322
Hauptverfasser: von Konow, Lars, Nord, Carl Erik, Nordenram, Åke
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container_title International journal of oral surgery
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creator von Konow, Lars
Nord, Carl Erik
Nordenram, Åke
description The bacteriology of 57 dentoalveolar infections was studied using optimal techniques to collect, transport and process specimens. There was an average of 4 bacterial species per specimen, and only 1/3 of the specimens held aerobes. Among the aerobic bacteria, streptococci dominated and among the anaerobes the Gram-negative rods, Bacteroides ruminicola and Fusobacterium nucleatum, were most frequently isolated followed by Gram-positive cocci, in particular Streptococcus intermedins. All aerobic isolates were sensitive to Phenoxymethylpenicillin and benzylpenicillin. 4 anaerobic isolates were resistant to penicillins but sensitive to clindamycin and tinidazole. The other anaerobic isolates were sensitive to penicillins but showed varying susceptibility to erythromycin and doxycycline. Tinidazole was effective against all anaerobic Gram-negative rods. The presence of volatile fatty acids in pus from dentoalveolar infections was found to be of presumptive value for the diagnosis of anaerobic infections. Direct gas-liquid chromatographic analysis of pus is recommended as a routine procedure for preliminary diagnosis of anaerobic dentoalveolar infections.
doi_str_mv 10.1016/S0300-9785(81)80027-0
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source MEDLINE; Alma/SFX Local Collection
subjects Adult
Aged
Anti-Bacterial Agents - pharmacology
bacteria, anaerobic
Bacterial Infections - microbiology
Bacteriological Techniques
Chromatography, Gas
chromatography, gas-liquid
Dentistry
Fatty Acids, Volatile - analysis
Female
Gram-Negative Anaerobic Bacteria - drug effects
Gram-Negative Anaerobic Bacteria - isolation & purification
Humans
infections, dentoalveolar
Male
Microbial Sensitivity Tests
Middle Aged
Penicillinase - metabolism
Periapical Abscess - microbiology
sensitivity, antibiotic
title Anaerobic bacteria in dentoalveolar infections
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