A European multicenter retrospective study of hospitalized patients with severe odontogenic infections.
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Boffano Paolo, Brucoli Matteo, Ruslin Muhammad, Stathopoulos Panagiotis, Maniati Dimitra, Mottl Radovan, Dediol Emil, Kos Boris, Michcik Adam, Garbacewicz Łukasz, de Vicente Juan Carlos, Rodríguez-Santamarta Tania, Deinega Nikita, Starch-Jensen Thomas, Mijatov Ivana, Tadic Ana J, Bajkin Branislav V, Dugast Sophie, Bertin Helios, Corre Pierre, Vidák Dorottya, Szalma József, Dini Mathilde, Louvrier Aurélien, Bertin Eugénie, Meyer Christophe, Garvas Žan, Dovšak Tadej, Pechalova Petia, Pavlov Nikolai, Sapundzhiev Angel, Harizanova Zdravka, Zaleckas Linas, Rastenienė Rūta, Haapanen Aleksi, Snäll Johanna
Аннотация
METHODS: All hospitalized and treated cases of severe odontogenic infections at the participating surgical units across Europe between January 1st, 2014, and December 31st, 2023, were recorded. The following data were collected: comorbidities, odontogenic etiology, spaces affected, isolated microorganisms, treatment, duration of hospital stay, and outcome.
RESULTS: A total of 6190 patients diagnosed with severe odontogenic infection were included. An older age (p < 0.0001) and the male gender (p = 0.0003) were statistically associated with a longer hospital stay. The presence of comorbidities was not associated with a longer hospital stay or a poorer outcome. Recorded infections originating in the lower premolars and lower molars were associated with a longer hospital stay (p < 0.0001). The most frequently observed microorganisms were Alfa-hemolytic streptococci. The presence of Gram + microorganisms was associated with a longer hospital stay (p < 0.05). Several treatments were administered, with most patients (36.7%) undergoing a course of antibiotics, dental extraction, and an incision and drainage of the abscess. Eleven out of the 6,190 patients (0.18%) died due to a severe odontogenic infection.
CONCLUSIONS: Most hospitalized patients with dental infections are previously healthy individuals, predominantly young or middle-aged adults.
CLINICAL SIGNIFICANCE: Mandibular molars are the most frequent infectious origin teeth. Despite the potential severity of these infections, mortality rates remain low in Europe.