Microflora in Maxillofacial Infections—A Changing Scenario?
Purpose Advances in isolation and culturing techniques have brought the role of anaerobic bacteria-causing maxillofacial infections to the fore. Recent literature also favors the role of anaerobes in maxillofacial infections. A prospective clinical and microbiological study was designed to check the...
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| Veröffentlicht in: | Journal of oral and maxillofacial surgery 2012, Vol.70 (1), p.119-125 |
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| creator | Yuvaraj, V., MDS Alexander, Mohan, MDS Pasupathy, Sanjay, MDS, DNB |
| description | Purpose Advances in isolation and culturing techniques have brought the role of anaerobic bacteria-causing maxillofacial infections to the fore. Recent literature also favors the role of anaerobes in maxillofacial infections. A prospective clinical and microbiological study was designed to check the validity of such claims. Patients and Methods This study included 88 patients who fulfilled the inclusion criteria. Pus was obtained by aspirating the involved spaces and culture and sensitivity tests were performed to determine the microbes involved and their sensitivity to various antibiotics. Results Upon isolating the various organisms causing infection, it was found that 68.2% were aerobes, 13.6% were mixed infections, and 9.1% were anaerobes. Streptococcus and Peptostreptococcus species were the most common among aerobes and anaerobes, respectively. On determining sensitivity to penicillin, 81.3% were sensitive and 18.8% were resistant. Coagulase-negative Staphylococcus and Staphylococcus aureus were predominantly resistant to penicillin. Conclusion Analysis of the results indicated no change in microflora-causing infections in the maxillofacial region and penicillin remains the drug of choice in treating these infections. |
| doi_str_mv | 10.1016/j.joms.2011.02.006 |
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Recent literature also favors the role of anaerobes in maxillofacial infections. A prospective clinical and microbiological study was designed to check the validity of such claims. Patients and Methods This study included 88 patients who fulfilled the inclusion criteria. Pus was obtained by aspirating the involved spaces and culture and sensitivity tests were performed to determine the microbes involved and their sensitivity to various antibiotics. Results Upon isolating the various organisms causing infection, it was found that 68.2% were aerobes, 13.6% were mixed infections, and 9.1% were anaerobes. Streptococcus and Peptostreptococcus species were the most common among aerobes and anaerobes, respectively. On determining sensitivity to penicillin, 81.3% were sensitive and 18.8% were resistant. Coagulase-negative Staphylococcus and Staphylococcus aureus were predominantly resistant to penicillin. Conclusion Analysis of the results indicated no change in microflora-causing infections in the maxillofacial region and penicillin remains the drug of choice in treating these infections.</description><identifier>ISSN: 0278-2391</identifier><identifier>EISSN: 1531-5053</identifier><identifier>DOI: 10.1016/j.joms.2011.02.006</identifier><identifier>PMID: 21511379</identifier><identifier>CODEN: JOMSDA</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Bacteria - classification ; Bacteria, Aerobic - classification ; Bacteria, Anaerobic - classification ; Bacterial Infections - diagnosis ; Biological and medical sciences ; Child ; Child, Preschool ; Coinfection - diagnosis ; Dentistry ; Drug Resistance, Bacterial ; Enterococcus faecalis - isolation & purification ; Female ; Gram-Positive Bacterial Infections - diagnosis ; Humans ; Male ; Medical sciences ; Middle Aged ; Mouth Diseases - microbiology ; Otorhinolaryngology. Stomatology ; Peptostreptococcus - isolation & purification ; Propionibacterium - isolation & purification ; Prospective Studies ; Streptococcal Infections - diagnosis ; Streptococcus mitis - isolation & purification ; Streptococcus sanguis - isolation & purification ; Suppuration - microbiology ; Surgery ; Tooth Diseases - microbiology ; Young Adult</subject><ispartof>Journal of oral and maxillofacial surgery, 2012, Vol.70 (1), p.119-125</ispartof><rights>American Association of Oral and Maxillofacial Surgeons</rights><rights>2012 American Association of Oral and Maxillofacial Surgeons</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-8e9fad1c8f8bd0c06fde4834c251314830d30d458a8b135aac0a3ae25222a9ff3</citedby><cites>FETCH-LOGICAL-c440t-8e9fad1c8f8bd0c06fde4834c251314830d30d458a8b135aac0a3ae25222a9ff3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.joms.2011.02.006$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,4024,27923,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25533105$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21511379$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yuvaraj, V., MDS</creatorcontrib><creatorcontrib>Alexander, Mohan, MDS</creatorcontrib><creatorcontrib>Pasupathy, Sanjay, MDS, DNB</creatorcontrib><title>Microflora in Maxillofacial Infections—A Changing Scenario?</title><title>Journal of oral and maxillofacial surgery</title><addtitle>J Oral Maxillofac Surg</addtitle><description>Purpose Advances in isolation and culturing techniques have brought the role of anaerobic bacteria-causing maxillofacial infections to the fore. Recent literature also favors the role of anaerobes in maxillofacial infections. A prospective clinical and microbiological study was designed to check the validity of such claims. Patients and Methods This study included 88 patients who fulfilled the inclusion criteria. Pus was obtained by aspirating the involved spaces and culture and sensitivity tests were performed to determine the microbes involved and their sensitivity to various antibiotics. Results Upon isolating the various organisms causing infection, it was found that 68.2% were aerobes, 13.6% were mixed infections, and 9.1% were anaerobes. Streptococcus and Peptostreptococcus species were the most common among aerobes and anaerobes, respectively. On determining sensitivity to penicillin, 81.3% were sensitive and 18.8% were resistant. Coagulase-negative Staphylococcus and Staphylococcus aureus were predominantly resistant to penicillin. Conclusion Analysis of the results indicated no change in microflora-causing infections in the maxillofacial region and penicillin remains the drug of choice in treating these infections.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Bacteria - classification</subject><subject>Bacteria, Aerobic - classification</subject><subject>Bacteria, Anaerobic - classification</subject><subject>Bacterial Infections - diagnosis</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Coinfection - diagnosis</subject><subject>Dentistry</subject><subject>Drug Resistance, Bacterial</subject><subject>Enterococcus faecalis - isolation & purification</subject><subject>Female</subject><subject>Gram-Positive Bacterial Infections - diagnosis</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mouth Diseases - microbiology</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Peptostreptococcus - isolation & purification</subject><subject>Propionibacterium - isolation & purification</subject><subject>Prospective Studies</subject><subject>Streptococcal Infections - diagnosis</subject><subject>Streptococcus mitis - isolation & purification</subject><subject>Streptococcus sanguis - isolation & purification</subject><subject>Suppuration - microbiology</subject><subject>Surgery</subject><subject>Tooth Diseases - microbiology</subject><subject>Young Adult</subject><issn>0278-2391</issn><issn>1531-5053</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU9rFDEYh4NY7Lr6BTzIXMTTjHmTyfwBbSmLtoUWD23P4d1MUjNmkzbZFXvzQ_gJ-0nMsGsLPRQCyeH5vUmeHyHvgFZAofk0VmNYpYpRgIqyitLmBZmB4FAKKvhLMqOs7UrGe9gnr1MaaQZF27wi-wwEAG_7GflyblUMxoWIhfXFOf62zgWDyqIrTr3Ram2DT_d__h4Vix_or62_Li6U9hhtOHxD9gy6pN_u9jm5-vb1cnFSnn0_Pl0cnZWqrum67HRvcADVmW45UEUbM-i647ViAjjkEx3yqkWH3RK4QFQUOWomGGPYG8Pn5ON27k0Mtxud1nJlk9LOoddhk2QPjLVcNF0m2ZbMv0opaiNvol1hvJNA5WRNjnKyJidrkjKZreXQ-934zXKlh4fIf00Z-LADMCl0JqJXNj1yQnAO2fmcfN5yOsv4ZXWUSVntlR5szCblEOzz7zh4ElfOeptv_KnvdBrDJvqsWYJMOSAvpn6negFytX3L-D-yV5-m</recordid><startdate>2012</startdate><enddate>2012</enddate><creator>Yuvaraj, V., MDS</creator><creator>Alexander, Mohan, MDS</creator><creator>Pasupathy, Sanjay, MDS, DNB</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2012</creationdate><title>Microflora in Maxillofacial Infections—A Changing Scenario?</title><author>Yuvaraj, V., MDS ; Alexander, Mohan, MDS ; Pasupathy, Sanjay, MDS, DNB</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-8e9fad1c8f8bd0c06fde4834c251314830d30d458a8b135aac0a3ae25222a9ff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Bacteria - classification</topic><topic>Bacteria, Aerobic - classification</topic><topic>Bacteria, Anaerobic - classification</topic><topic>Bacterial Infections - diagnosis</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Coinfection - diagnosis</topic><topic>Dentistry</topic><topic>Drug Resistance, Bacterial</topic><topic>Enterococcus faecalis - isolation & purification</topic><topic>Female</topic><topic>Gram-Positive Bacterial Infections - diagnosis</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mouth Diseases - microbiology</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Peptostreptococcus - isolation & purification</topic><topic>Propionibacterium - isolation & purification</topic><topic>Prospective Studies</topic><topic>Streptococcal Infections - diagnosis</topic><topic>Streptococcus mitis - isolation & purification</topic><topic>Streptococcus sanguis - isolation & purification</topic><topic>Suppuration - microbiology</topic><topic>Surgery</topic><topic>Tooth Diseases - microbiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yuvaraj, V., MDS</creatorcontrib><creatorcontrib>Alexander, Mohan, MDS</creatorcontrib><creatorcontrib>Pasupathy, Sanjay, MDS, DNB</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of oral and maxillofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yuvaraj, V., MDS</au><au>Alexander, Mohan, MDS</au><au>Pasupathy, Sanjay, MDS, DNB</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Microflora in Maxillofacial Infections—A Changing Scenario?</atitle><jtitle>Journal of oral and maxillofacial surgery</jtitle><addtitle>J Oral Maxillofac Surg</addtitle><date>2012</date><risdate>2012</risdate><volume>70</volume><issue>1</issue><spage>119</spage><epage>125</epage><pages>119-125</pages><issn>0278-2391</issn><eissn>1531-5053</eissn><coden>JOMSDA</coden><abstract>Purpose Advances in isolation and culturing techniques have brought the role of anaerobic bacteria-causing maxillofacial infections to the fore. Recent literature also favors the role of anaerobes in maxillofacial infections. A prospective clinical and microbiological study was designed to check the validity of such claims. Patients and Methods This study included 88 patients who fulfilled the inclusion criteria. Pus was obtained by aspirating the involved spaces and culture and sensitivity tests were performed to determine the microbes involved and their sensitivity to various antibiotics. Results Upon isolating the various organisms causing infection, it was found that 68.2% were aerobes, 13.6% were mixed infections, and 9.1% were anaerobes. Streptococcus and Peptostreptococcus species were the most common among aerobes and anaerobes, respectively. On determining sensitivity to penicillin, 81.3% were sensitive and 18.8% were resistant. Coagulase-negative Staphylococcus and Staphylococcus aureus were predominantly resistant to penicillin. 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| subjects | Adolescent Adult Aged Bacteria - classification Bacteria, Aerobic - classification Bacteria, Anaerobic - classification Bacterial Infections - diagnosis Biological and medical sciences Child Child, Preschool Coinfection - diagnosis Dentistry Drug Resistance, Bacterial Enterococcus faecalis - isolation & purification Female Gram-Positive Bacterial Infections - diagnosis Humans Male Medical sciences Middle Aged Mouth Diseases - microbiology Otorhinolaryngology. Stomatology Peptostreptococcus - isolation & purification Propionibacterium - isolation & purification Prospective Studies Streptococcal Infections - diagnosis Streptococcus mitis - isolation & purification Streptococcus sanguis - isolation & purification Suppuration - microbiology Surgery Tooth Diseases - microbiology Young Adult |
| title | Microflora in Maxillofacial Infections—A Changing Scenario? |
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