Article Data

  • Views 224
  • Dowloads 120

Original Research

Open Access

Factors associated with prolonged hospitalizations from odontogenic infections in children

  • Michael V. Joachim1,2,*,
  • Mary Abdo3
  • Kutaiba Alkeesh1
  • Orit Oettinger-Barak4
  • Said Abozaid3
  • Imad Abu El-Naaj1,2

1Department of Oral and Maxillofacial Surgery, Baruch Padeh Medical Center, Poriya, Israel

2Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel

3Department of Pediatrics, Baruch Padeh Medical Center, Poriya, Israel

4Melbourne Dental School, Melbourne, VIC, Australia

DOI: 10.22514/jocpd.2022.024 Vol.46,Issue 6,November 2022 pp.40-44

Published: 01 November 2022

*Corresponding Author(s): Michael V. Joachim E-mail: michael.joachim@biu.ac.il

Abstract

Objective: Oro-facial infections are common pathologies comprising a substantial health concern in the pediatric population. Incorrect or late treatment may lead to serious and possibly life-threatening complications. The aim of this study is to analyze variables associated with prolonged length of hospital stays (LOS) due to odontogenic infections in children. Study design: Data was collected from the records of patients (age <15 years) hospitalized due to odontogenic infections at Poriya Medical Center during the period of 1/2010–12/2015. Patients with oro-facial infections originating from other organs were excluded from the study as well as children with underlying systemic medical conditions that may affect recovery. Results: A total of 411 patients (mean age 6.5 ± 2 years) were included in this study, with 58.4% being male. There were significantly higher (p < 0.05) values of white blood cell (WBC) counts in patients with >3 days LOS. Patients with >3 days LOS were also significantly older (8.4 vs. 6.3 years). There were no significant differences in sex distribution or other clinical or laboratory parameters between the groups. Conclusion: Older child age and higher WBC counts on admission are indicators for prolonged LOS.


Keywords

Tooth infections; Pediatric hospitalization; Odontogenic infections


Cite and Share

Michael V. Joachim,Mary Abdo,Kutaiba Alkeesh,Orit Oettinger-Barak,Said Abozaid,Imad Abu El-Naaj. Factors associated with prolonged hospitalizations from odontogenic infections in children. Journal of Clinical Pediatric Dentistry. 2022. 46(6);40-44.

References

1. Gendron R, Grenier D, Maheu-Robert L. The oral cavity as a reservoir of bacterial pathogens for focal infections. Microbes and Infection. 2000; 2: 897–906.

2. Nair RG, Salajegheh A, Itthagarun A, Pakneshan S, Brennan MT, Samaranayake LP. Orofacial viral infections—an update for clinicians. Dental Update. 2014; 41: 518–520, 522–524.

3. Bertossi D, Barone A, Iurlaro A, Marconcini S, De Santis D, Finotti M, et al. Odontogenic orofacial infections. Journal of Craniofacial Surgery. 2017; 28: 197–202.

4. Al-Malik M, Al-Sarheed M. Pattern of management of oro-facial infection in children: a retrospective. Saudi Journal of Biological Sciences. 2017; 24: 1375–1379.

5. Ritwik P, Fallahi S, Yu Q. Management of facial cellulitis of odontogenic origin in a paediatric hospital. International Journal of Paediatric Dentistry. 2020; 30: 483–488.

6. Joachim M V., Abdo M, Alkeesh K, Buduru, S, El-Naaj I A. Pediatric Odontogenic Infections Severity among different ethnic background children in Northern Israel. Refuat ha’Pe ve ha’Shinaim. 2020; 37: 22–26. (In Hebrew)

7. Dodson TB, Perrott DH, Kaban LB. Pediatric maxillofacial infections: a retrospective study of 113 patients. Journal of Oral and Maxillofacial Surgery. 1989; 47: 327–330.

8. Uluibau I, Jaunay T, Goss A. Severe odontogenic infections. Australian Dental Journal. 2005; 50: S74–S81.

9. Taub D, Yampolsky A, Diecidue R, Gold L. Controversies in the management of oral and maxillofacial infections. Oral and Maxillofacial Surgery Clinics of North America. 2017; 29: 465–473.

10. Unkel JH, McKibben DH, Fenton SJ, Nazif MM, Moursi A, Schuit K. Comparison of odontogenic and nonodontogenic facial cellulitis in a pediatric hospital population. Pediatric Dentistry. 1997; 19: 476–479.

11. Moore WEC, Moore LVH. The bacteria of periodontal diseases. Periodontology 2000. 1994; 5: 66–77.

12. Gendron R, Grenier D, Maheu-Robert L. The oral cavity as a reservoir of bacterial pathogens for focal infections. Microbes and Infection. 2000; 2: 897–906.

13. Chow AW. Orofacial Odontogenic Infections. Annals of Internal Medicine. 1978; 88: 392.

14. Heimdahl A, von Konow L, Satoh T, Nord CE. Clinical appearance of orofacial infections of odontogenic origin in relation to microbiological findings. Journal of Clinical Microbiology. 1985; 22: 299–302.

15. Sethi DS, Stanley RE. Deep neck abscesses—changing trends. The Journal of Laryngology & Otology. 1994; 108: 138–143.

16. Har-El G, Aroesty JH, Shaha A, Lucente FE. Changing trends in deep neck abscess. Oral Surgery, Oral Medicine, Oral Pathology. 1994; 77: 446–450.

17. Bartlett JG, Gorbach SL. Anaerobic infections of the head and neck. Otolaryngologic Clinics of North America. 1976; 9: 655–678.

18. Storoe W, Haug RH, Lillich TT. The changing face of odontogenic infections. Journal of Oral and Maxillofacial Surgery. 2001; 59: 739–748.

19. Moenning JE, Nelson CL, Kohler RB. The microbiology and chemotherapy of odontogenic infections. Journal of Oral and Maxillofacial Surgery. 1989; 47: 976–985.

20. Mayrand D, McBride BC. Ecological relationships of bacteria involved in a simple, mixed anaerobic infection. Infection and Immunity. 1980; 27: 44–50.

21. Griffee MB, Patterson SS, Miller CH, Kafraway AH, de Obarrio JJ. Bacteroides melaninogenicus and dental infections: some questions and some answers. Oral Surgery, Oral Medicine, Oral Pathology. 1982; 54: 486–489.

22. Grenier D, Mayrand D. Nutritional relationships between oral bacteria. Infection and Immunity. 1986; 53: 616–620.

23. Cachovan G, Phark JH, Schön G, Pohlenz P, Platzer U. Odontogenic infections: an 8-year epidemiologic analysis in a dental emergency outpatient care unit. Acta Odontologica Scandinavica. 2013; 71: 518–524.

24. Doll C, Carl F, Neumann K, Voss JO, Hartwig S, Waluga R, et al. Odontogenic abscess-related emergency hospital admissions: a retrospective data analysis of 120 children and young people requiring surgical drainage. BioMed Research International. 2018; 2018: 1–9.

25. Kannangara DW, Thadepalli H, McQuirter JL. Bacteriology and treatment of dental infections. Oral Surgery, Oral Medicine, Oral Pathology. 1980; 50: 103–109.

26. Wang J, Ahani A, Pogrel MA. A five-year retrospective study of odontogenic maxillofacial infections in a large urban public hospital. International Journal of Oral and Maxillofacial Surgery. 2005; 34: 646–649.

27. Costales González L, Zafra Anta M, Alfaro Iznaola C, Galán del Río P, Ballesteros García M, Zafra Vallejo V. Admissions for odontogenic facial cellulitis in a hospital in Madrid. Clinical characteristics and treatment. Acta pediátrica española. 2015; 73: 158–164.(In Spanish)

28. Biederman GR, Dodson TB. Epidemiologic review of facial infections in hospitalized pediatric patients. Journal of Oral and Maxillo-facial Surgery. 1994; 52: 1042–1045.

29. Kara A, Ozsurekci Y, Tekcicek M, Karadag Oncel E, Cengiz AB, Karahan S, et al. Length of hospital stay and management of facial cellulitis of odontogenic origin in children. Pediatric Dentistry. 2014; 36: 18E–22E.

30. Lin YJ, Lu P. Retrospective study of pediatric facial cellulitis of odontogenic origin. The Pediatric Infectious Disease Journal. 2006; 25: 339–342.

31. Thikkurissy S, Rawlins JT, Kumar A, Evans E, Casamassimo PS. Rapid treatment reduces hospitalization for pediatric patients with odontogenic-based cellulitis. The American Journal of Emergency Medicine. 2010; 28: 668–672.

32. Kuo J, Lin Y, Lin YJ. Odontogenic cellulitis in children requiring hospitalization. Journal of Dental Sciences. 2013; 8: 129–132.

33. Strachan DD, Williams FA, Bacon WJ. Diagnosis and treatment of pediatric maxillofacial infections. General Dentistry. 1998; 46: 180–182.

34. Grossman M. Management of the febrile patient. The Pediatric Infectious Disease Journal. 1986; 5: 730–734.

35. Peters ES, Fong B, Wormuth DW, Sonis ST. Risk factors affecting hospital length of stay in patients with odontogenic maxillofacial infections. Journal of Oral and Maxillofacial Surgery. 1996; 54: 1386–1391.

36. Gams K, Shewale J, Demian N, Khalil K, Banki F. Characteristics, length of stay, and hospital bills associated with severe odontogenic infections in Houston, TX. The Journal of the American Dental Association. 2017; 148: 221–229.

37. Dar-Odeh N, Fadel HT, Abu-Hammad S, Abdeljawad R, Abu-Hammad OA. Antibiotic prescribing for oro-facial infections in the paediatric outpatient: a review. Antibiotics. 2018; 7: 38.

38. Isla A, Canut Blasco A, Rodríguez-Gascón A, Planells P, Beltrí-Orta P, Salmerón-Escobar JI, et al. Antibiotic therapy in odontogenic infections in children and adolescents: Pharmacokinetic/pharmacodynamic analysis. Enfermedades Infecciosas Microbiologia Clinica. 2008; 26: 621–628. (In Spanish)

39. Crescente CG, De Facchin MS, Rodríguez AMA. Medical-dental considerations in the care of children with facial cellulitis of odontogenic origin. A disease of interest for pediatricians and pediatric dentists. Archivos Argentinos de Pediatria. 2018; 116: e548–e553.


Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,500 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Biological Abstracts Easily discover critical journal coverage of the life sciences with Biological Abstracts, produced by the Web of Science Group, with topics ranging from botany to microbiology to pharmacology. Including BIOSIS indexing and MeSH terms, specialized indexing in Biological Abstracts helps you to discover more accurate, context-sensitive results.

Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of scholarly literature across an array of publishing formats and disciplines.

JournalSeek Genamics JournalSeek is the largest completely categorized database of freely available journal information available on the internet. The database presently contains 39226 titles. Journal information includes the description (aims and scope), journal abbreviation, journal homepage link, subject category and ISSN.

Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.

BIOSIS Previews BIOSIS Previews is an English-language, bibliographic database service, with abstracts and citation indexing. It is part of Clarivate Analytics Web of Science suite. BIOSIS Previews indexes data from 1926 to the present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Submission Turnaround Time

Conferences

Top