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Clinical Oral Investigations

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Open Access 01-04-2021 | Nosocomial Pneumonia | Original Article

Deep odontogenic infections—identifying risk factors for nosocomial pneumonia

Authors: Niina Rautaporras, Jussi Furuholm, Johanna Uittamo, Mikko Saloniemi, Tuukka Puolakka, Johanna Snäll

Published in: Clinical Oral Investigations | Issue 4/2021

Abstract

Objectives

To evaluate occurrence and risk factors for pneumonia in patients with deep odontogenic infection (OI).

Materials and methods

All patients treated for deep OIs and requiring intensive care and mechanical ventilation were included. The outcome variable was diagnosis of nosocomial pneumonia. Primary predictor variables were re-intubation and duration of mechanical ventilation. The secondary predictor variable was length of hospital stay (LOHS). The explanatory variables were gender, age, current smoking, current heavy alcohol and/or drug use, diabetes, and chronic pulmonary disease.

Results

Ninety-two patients were included in the analyses. Pneumonia was detected in 14 patients (15%). It was diagnosed on postoperative day 2 to 6 (median 3 days, mean 3 days) after primary infection care. Duration of mechanical ventilation (p = 0.028) and LOHS (p = 0.002) correlated significantly with occurrence of pneumonia. In addition, re-intubation (p = 0.004) was found to be significantly associated with pneumonia; however, pneumonia was detected in 75% of these patients prior to re-intubation. Two patients (2%) died during intensive care unit stay, and both had diagnosed nosocomial pneumonia. Smoking correlated significantly with pneumonia (p = 0.011).

Conclusion

Secondary pneumonia due to deep OI is associated with prolonged hospital care and can predict the risk of death. Duration of mechanical ventilation should be reduced with prompt and adequate OI treatment, whenever possible. Smokers with deep OI have a significantly higher risk than non-smokers of developing pneumonia.

Clinical relevance

Nosocomial pneumonia is a considerable problem in OI patients with lengthy mechanical ventilation. Prompt and comprehensive OI care is required to reduce these risk factors.

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Title: Deep odontogenic infections—identifying risk factors for nosocomial pneumonia
Authors: Niina Rautaporras
Jussi Furuholm
Johanna Uittamo
Mikko Saloniemi
Tuukka Puolakka
Johanna Snäll
Publication date: 01-04-2021
Publisher: Springer Berlin Heidelberg
Keywords: Nosocomial Pneumonia
Pneumonia
Tracheostomy
Published in: Clinical Oral Investigations / Issue 4/2021
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-020-03500-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Deep odontogenic infections—identifying risk factors for nosocomial pneumonia

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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