Odontogenic infections in the antibiotic era : approach to diagnosis, management, and prevention

© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany..

PURPOSE: The prevalence of odontogenic infections remains one of the highest in the world. If untreated, odontogenic infections can break through the limitation, disseminate to other organs or spaces, and cause high mortality rates. However, it is still difficult to rapidly target limited or disseminated infections in clinical practice. The type of disseminated odontogenic infections and the responsible bacteria have not been described in detail.

METHODS: Search databases (e.g., PubMed, MEDLINE, Web of Science, Embase) for reports published from 2018.1 to 2022.9. Use search strategies: ("odontogenic infections" OR "pulpitis" OR "periapical lesions" OR "periodontal diseases") AND ("disseminated infections" OR "complication").

RESULTS: Fourteen different types of disseminated odontogenic infections, most of which are polymicrobial infections, can spread through the body either direct or through hematogenous diffusion. Multiple microbial infections can be more invasive in the transmission of infection. Secondary infections are commonly associated with bacteria like Fusobacterium spp., Streptococcus spp., Peptostreptococcus spp., Prevotella spp., and Staphylococcus spp. Antibiotics with broad-spectrum activity are fundamental as first-line antimicrobial agents based on the microorganisms isolated from disseminated infections.

CONCLUSION: This review elaborates on the epidemiology, microorganisms, risk factors, and dissemination routes, and provides evidence-based opinions on the diagnosis, multidisciplinary management, and prevention of odontogenic infections for dentists and clinicians.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:52

Enthalten in:

Infection - 52(2024), 2 vom: 22. März, Seite 301-311

Sprache:

Englisch

Beteiligte Personen:

Lou, Yiting [VerfasserIn]
Sun, Zheyuan [VerfasserIn]
Ma, Haiying [VerfasserIn]
Cao, Danna [VerfasserIn]
Sun, Mouyuan [VerfasserIn]
Wang, Qianting [VerfasserIn]
Wang, Jingyu [VerfasserIn]
Zhuo, Qunhao [VerfasserIn]
Tao, Ran [VerfasserIn]
Ying, Binbin [VerfasserIn]
Liu, Yu [VerfasserIn]
Yu, Mengfei [VerfasserIn]
Wang, Huiming [VerfasserIn]

Links:

Volltext

Themen:

Anti-Bacterial Agents
Diagnosis
Dissemination
Journal Article
Microbiology
Multidisciplinary management
Odontogenic infections
Review

Anmerkungen:

Date Completed 21.03.2024

Date Revised 21.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s15010-023-02117-5

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM364186119