Pathogens (Basel, Switzerland) · 2025
Management of Odontogenic Infections in Pregnant Patients: Case-Based Approach and Literature Review.
СтатьяОбзорКлинический случайНазвание и аннотация: Перевод в очереди
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Hramyka Andrei, Wieczorkiewicz Agata, Bargiel Jakub, Śliwiński Krzysztof, Gąsiorowski Krzysztof, Marecik Tomasz, Szczurowski Paweł, Wyszyńska-Pawelec Grażyna, Zapała Jan, Gontarz Michał
Аннотация
BACKGROUND: Odontogenic abscesses may significantly affect maternal health during pregnancy.
AIM: This study analyzes three cases of pregnant patients with odontogenic infections, comparing them to a control group of non-pregnant women, and reviews recent literature.
MATERIALS AND METHODS: Between January 2020 and April 2025, 3 pregnant and 70 non-pregnant women with odontogenic abscesses were treated. Clinical presentation, pathogens, therapy, and outcomes were compared.
RESULTS: Severe sequelae, such as rapid abscess spread and systemic inflammation, were more frequent in pregnant women, though not statistically significant (p = 0.068). Pregnant patients also tended toward prolonged intubation (p = 0.194) and targeted antibiotic use (p = 0.133). Antibiotic selection was based on gestational age, with beta-lactams preferred. Surgical interventions were more extensive, often involving multiple neck spaces. Hospitalization was longer (≥4 days in most cases) due to maternal-fetal monitoring.
CONCLUSIONS: Odontogenic abscesses in pregnancy require individualized management and gestation-adjusted antibiotic therapy.
AIM: This study analyzes three cases of pregnant patients with odontogenic infections, comparing them to a control group of non-pregnant women, and reviews recent literature.
MATERIALS AND METHODS: Between January 2020 and April 2025, 3 pregnant and 70 non-pregnant women with odontogenic abscesses were treated. Clinical presentation, pathogens, therapy, and outcomes were compared.
RESULTS: Severe sequelae, such as rapid abscess spread and systemic inflammation, were more frequent in pregnant women, though not statistically significant (p = 0.068). Pregnant patients also tended toward prolonged intubation (p = 0.194) and targeted antibiotic use (p = 0.133). Antibiotic selection was based on gestational age, with beta-lactams preferred. Surgical interventions were more extensive, often involving multiple neck spaces. Hospitalization was longer (≥4 days in most cases) due to maternal-fetal monitoring.
CONCLUSIONS: Odontogenic abscesses in pregnancy require individualized management and gestation-adjusted antibiotic therapy.