Microbiota of Dental Abscess and their Susceptibility to Empirical Antibiotic Therapy.

Contemp Clin Dent

Department of Microbiology, Research Laboratory for Oral Systemic Health, Sree Balaji Dental College and Hospital, BIHER, Chennai, Tamil Nadu, India.

Published: November 2022

Context: Resistant pathogens to purulent odontogenic infections have evolved due to misuse of antibiotics. Hence, it is important to use a suitable antibacterial agent.

Aim: This study aimed to identify the common bacterial species causing odontogenic infections and to determine their antibiotic susceptibility profile to amoxicillin, amoxicillin and clavulanic acid, azithromycin, and linezolid.

Settings And Design: This was an cross-sectional study.

Material And Methods: Fifty pus samples from odontogenic abscess were cultured and antibiotic susceptibility tests were performed as per the standard microbiological procedures.

Statistical Analysis Used: Binomial test and Pearson's Chi-square test were used for statistical analysis.

Results: Out of the 50 samples cultured, 30 samples showed growth. The distribution of growth among the 30 samples was Gram-positive cocci ( = 23, 67.65%) and Gram-negative bacilli ( = 11, 32.35%). Gram-positive isolates that were grown were (38.24%) followed by (29.41%) and Gram-negative bacilli that were isolated were (14.71%), (8.82%), (5.88%), and (2.94%). isolates were highly susceptible to amoxicillin (76.92%). An increase in the zone of inhibition to amoxicillin-clavulanic acid was appreciated more for (50%) than (30.76%). and showed high susceptibility of 92.31% and 90% to linezolid, respectively. and were 100% susceptible to amoxicillin. All the Gram-negative bacteria except for were 100% highly susceptible to amoxicillin-clavulanic acid.

Conclusions: Culture-guided antibiotic prescriptions are necessary to prevent the emergence of antibiotic-resistant bacteria.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9855256PMC
http://dx.doi.org/10.4103/ccd.ccd_782_21DOI Listing

Publication Analysis

Top Keywords

odontogenic infections
8
antibiotic susceptibility
8
gram-negative bacilli
8
highly susceptible
8
susceptible amoxicillin
8
microbiota dental
4
dental abscess
4
susceptibility
4
abscess susceptibility
4
susceptibility empirical
4

Similar Publications

Orbital cellulitis happens when the region behind the orbital septum is affected. It consists an urgency because of its potential risks of complications, such as vision loss, cavernous sinus thrombosis, or Lemierre Syndrome. This article reports a case of a subperiosteal and orbital cellulitis, which had a periapical lesion in the left first molar as it´s focus.

View Article and Find Full Text PDF

Background: Odontogenic maxillary sinusitis (OMS) is recognized in literature, but diagnosing it is challenging due to its different and overlapping clinical presentations of it. Misdiagnosis can lead to persistent symptoms and clinical burden. Interestingly, recent guidelines from the American Academy of Otolaryngology-Head and Neck Surgery lack recommendations for dental evaluation in adult sinusitis cases.

View Article and Find Full Text PDF

Background: Oral infectious diseases, such as dental caries, periodontitis and periapical periodontitis, are often complicated by causative bacterial biofilm formation and significantly impact human oral health and quality of life. Bacteriophage (phage) therapy has emerged as a potential alternative with successful applications in antimicrobial trials. While therapeutic use of phages has been considered as effective treatment of some infectious diseases, related research focusing on oral infectious diseases is few and lacks attention.

View Article and Find Full Text PDF

Odontogenic infections (OIs) can progress rapidly and may lead to severe systemic complications, especially in patients with underlying conditions like diabetes mellitus (DM). This study aims to evaluate the predictive value of inflammatory scores-quick Sequential Organ Failure Assessment (qSOFA), Systemic Immune-Inflammation Index (SII), derived Neutrophil-to-Lymphocyte Ratio (dNLR), and Odontogenic Infection Severity Score (OISS)-in assessing the severity of OIs in diabetic versus non-diabetic patients. A case-control study was conducted on 123 patients diagnosed with OIs.

View Article and Find Full Text PDF

Background/objectives: Inexperienced dentists and dental students are especially prone to misdiagnosis, and this represents a huge problem regarding antimicrobial stewardship. We aimed to develop a mobile app for rational antibiotic prescribing in dentistry based on local-systemic symptoms and patient factors, rather than solely on diagnosis, to tackle misdiagnosis.

Methods: The study involved 64 participants, 50 of which were third-year dental students attending a pharmacology course focusing on antimicrobials, comprising lectures and practical sessions without (noAPP group, n = 22) or with (APP group n = 28) the assistance of a mobile application.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!