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Clinical Oral Investigations

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09-06-2023 | Clindamycin | Research

Antibiotic resistance of the bacterial spectrum of deep space head and neck infections in oral and maxillofacial surgery — a retrospective study

Authors: Simon Bigus, Günter Russmüller, Peter Starzengruber, Hannah Reitter, Christoph Lukas Sacher

Published in: Clinical Oral Investigations | Issue 8/2023

Abstract

Objectives

The aim of this study was to evaluate the current resistance situation concerning routinely used antibiotics for treatment in odontogenic abscesses.

Materials and methods

This retrospective study assessed patients with deep space head and neck infections who were treated by surgical intervention under general anesthesia at our department. The target parameter was the ascertainment of the resistance rates in order to identify the bacterial spectrum, sites in the body, length of inpatient stay, and the age and sex of the patients.

Results

A total of 539 patients, 268 (49.7%) males and 271 (50.3%) females were included in the study. The mean age was 36.5 ± 22.1 years. There was no significant difference between the two sexes with regard to the mean duration of hospitalization (p = 0.574). The predominant bacteria in the aerobic spectrum were streptococci of the viridans group and staphylococci, in the anaerobic spectrum Prevotella and Propionibacteria spp. Rates of resistance to clindamycin were between 34 and 47% in both the facultative and obligate anaerobic spectrum. Increased resistance was likewise found in the facultative anaerobic spectrum, with 94% resistance to ampicillin and 45% to erythromycin.

Conclusion

Due to the increasing levels of resistance to clindamycin, their use in empiric antibiotic treatment for deep space head and neck infections should be viewed critically.

Clinical relevance

Resistance rates continue to increase compared to previous studies. The use of these antibiotic groups in patients with a penicillin allergy needs to be called into question and alternative medications sought.

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Title: Antibiotic resistance of the bacterial spectrum of deep space head and neck infections in oral and maxillofacial surgery — a retrospective study
Authors: Simon Bigus
Günter Russmüller
Peter Starzengruber
Hannah Reitter
Christoph Lukas Sacher
Publication date: 09-06-2023
Publisher: Springer Berlin Heidelberg
Keywords: Clindamycin
Antibiotic
Penicillins
Erythromycin
Ampicillin
Streptococci
Oral and Maxillofacial Surgery
Oral and Maxillofacial Surgery
Published in: Clinical Oral Investigations / Issue 8/2023
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-023-05095-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Antibiotic resistance of the bacterial spectrum of deep space head and neck infections in oral and maxillofacial surgery — a retrospective study

Abstract

Objectives

Materials and methods

Results

Conclusion

Clinical relevance

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Materials and methods

Results

Conclusion

Clinical relevance

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