Basic and patient-oriented researchUse of Peripherally Inserted Central Catheters in the Management of Recalcitrant Maxillofacial Infection
Section snippets
Materials and Methods
Medical records were retrospectively retrieved from 100 consecutive patients with a primary diagnosis of dental abscess, submandibular abscess, or cellulitis face/neck, who were admitted to the John Hunter Hospital, Newcastle, Australia, under the care of the Department of Maxillofacial Surgery.
All patients included in the study required initial admission to hospital and were inpatients between February 2006 and February 2007.
We also reviewed data obtained from our infectious diseases
Results
In this study, PICC-based therapy accounted for 6% of treatment provided for in all cases of maxillofacial sepsis. This included 3 cases of actinomycosis, 2 cases of odontogenic osteomyelitis, and 1 case of zoonotic abscess/cellulitis.
The patient cohort was comprised of 5 male and 1 female patient with an age range of 23 to 72 years. All patients were symptomatic prior to their diagnosis. The 3 cases of actinomycosis presented with jaw swelling and cutaneous sinus tracts. In most cases the
Discussion
Although PICC placement is a relatively new approach to provide access for delivery of intravenous therapy in the surgical setting, it has been widely used in both a medical and intensive care setting since the mid 1970s. PICC allows reliable and painless entry to the venous system and therefore can be used to administer fluids, parenteral nutrition, irritant medications or toxic chemotherapeutic agents, and also facilitate hemodialysis or repeat blood sampling.6 In common with other central
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2019, Journal of Cranio-Maxillofacial SurgeryCitation Excerpt :Surgical intervention comprising incision and drainage is indisputably inevitable for a sufficient treatment of abscess (Walia et al., 2014). Intravenous antibiotics are often selected as a sustaining therapy option (Islam et al., 2008). Unfortunately, subsiding susceptibility rates of bacteria against commonly administered antibiotics are undoubtedly an increasing issue in odontogenic infection treatment (Heim et al., 2016).
The role of C-reactive protein and white blood cell count in the prediction of length of stay in hospital and severity of odontogenic abscess
2018, Journal of Cranio-Maxillofacial SurgeryCitation Excerpt :Furthermore, high costs in the treatment of patients with odontogenic infections are an increasing burden for public health care systems (Jundt and Gutta, 2012). The therapy of choice and the best treatment is extended surgical incision and drainage, combined with intravenously administered antibiotics (Islam et al., 2008; Walia et al., 2014; Heim et al., 2017). Additionally, removal of the infection focus is mandatory (Jundt and Gutta, 2012).
Microbiology and antibiotic sensitivity of head and neck space infections of odontogenic origin. Differences in inpatient and outpatient management
2017, Journal of Cranio-Maxillofacial SurgeryCitation Excerpt :Suppuration is often localized to the affected tooth, but can also spread into other spaces, and can be potentially life threatening as a result of airway compromise, septicemia, cavernous sinus thrombosis, brain abscess, and shock, if not treated at an early stage (Boscolo-Rizzo and Da Mosto, 2009; Tavakoli et al., 2013; DeAngelis et al., 2014). The majority of dental abscesses can be treated sufficiently by surgical intervention, such as incision and drainage of pus (Islam et al., 2008). Bacteria are undoubtedly the main pathogens of odontogenic abscesses.
Empiric systemic antibiotics for hospitalized patients with severe odontogenic infections
2016, Journal of Cranio-Maxillofacial SurgeryCitation Excerpt :Predisposing factors for severe progression of an odontogenic infection are deficiencies of immunological competence, such as human immunodeficiency virus positivity, long-term diabetes mellitus, chronic alcohol abuse, hepatitis and liver cirrhosis, systemic lupus erythematosus, and history of immunosuppression after transplant surgery (Peters et al., 1996; Whitesides et al., 2000; Seppanen et al., 2008; Sandner and Börgermann, 2011). Patients with severe odontogenic abscesses benefit most from a biphasic treatment, incision, and drainage combined with intravenous antibiotic therapy (Wang et al., 2003; Islam et al., 2008; Walia et al., 2014). Additionally, immediate or secondary removal of the odontogenic focus is inevitable for sufficient therapy (Jundt and Gutta, 2012).
Prospective randomized comparative evaluation of proximal valve polyurethane and distal valve silicone peripherally inserted central catheters
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