Microbial flora and antibiotic resistance in odontogenic abscesses in Upstate New York

Ear, Nose, & Throat Journal
Ann Woodhouse PlumRonald E Walsh

Abstract

Abscesses in the head and neck frequently have odontogenic sources. As bacterial pathogens and antibiotic resistance patterns may change over time and based on location, we describe the current common bacteria found in odontogenic abscesses, the prevalence of antibiotic resistance, and differences in each between pediatric and adult patients in Upstate New York. This is a retrospective review of patients who underwent drainage of odontogenic abscesses (n = 131) from 2002 to 2012 at an academic institution. The medical records were reviewed for results of abscess cultures, comorbidities, and drainage procedures. Polymicrobial sources were identified in 60.3% and monomicrobial in 33.6%. Overall, the most common bacteria were alpha hemolytic Streptococci (33.6%), Streptococcus milleri (32.1%), Prevotella (16.8%), and coagulase-negative Staphylococcus (14.5%). Candida and Morganella spp were more common in children than in adults. Overall, antibiotic resistance was observed in seven different pathogens. The most common antibiotic resistances were to clindamycin and erythromycin, which should be considered when deciding initial antibiotic therapy, especially in adult patients, who trended in this study toward having pathogens with h...Continue Reading

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Citations

Aug 30, 2019·Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry·Juan Pablo Loyola-RodriguezOscar Sanchez-Adame
Apr 20, 2019·Drug Metabolism Reviews·Paul Andrei TentMihai Juncar
Nov 5, 2019·Journal of Family Medicine and Primary Care·Yashik BansalSourabha Kumar Patro
May 31, 2020·Clinical Oral Investigations·Nils HeimValentin Wiedemeyer
Jun 2, 2021·Acta otorhinolaryngologica Italica : organo ufficiale della Società italiana di otorinolaringologia e chirurgia cervico-facciale·Francesca CambriaMarco de Vincentiis
Jul 3, 2021·Microorganisms·Sebastian BöttgerSameh Attia

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