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Profile of Patients with Maxillofacial Space Infections and Associated Risk Factors
Gadicherla, Srikanth Manglani, Kirti Pentapati, Kalyana C. Kudva, Adarsh Aramanadka, Chithra Chandravel, Rajaji
Gadicherla, Srikanth
Manglani, Kirti
Pentapati, Kalyana C.
Kudva, Adarsh
Aramanadka, Chithra
Chandravel, Rajaji
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EPub Date
Publication Date
2024-04-09
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Abstract
Objective: To evaluate the profile of patients operated for maxillofacial space infections and associated risk factors for the length of hospital stay.
Materials and Methods: We conducted a retrospective study among patients operated for maxillofacial infections at our center from 2010 to 2020. Information collected from the records were age, sex, type and number of spaces involved, clinical signs and symptoms (pain, swelling, toothache, sore throat, otalgia, hoarseness, headache, cough, neck swelling, rancid breath, sialorrhea, gingival swelling, muffled voice, trismus, fever, dysphagia, odynophagia, malaise, lymphadenopathy, dyspnoea, pus discharge), treatment modality, total leukocyte count, evidence of bacterial growth, comorbidities, complications if any and length of hospital stay. Results: A total of 128 medical records were examined, out of which 59 were female. The mean age was 38.59 ± 19.7 and the length of hospital stay was 7.56 ± 3.8 days. The most commonly involved space was submandibular space (46.1%) and the common symptoms reported were swelling (99.2%), pain (86.7%), and trismus (68%). Four patients had complications like necrotizing fasciitis (1.6%), pneumonia (0.8%), and death in one patient (0.8%). Logistic regression showed that patients more than 36 years of age, male sex, evidence of bacterial growth, and diabetics had higher odds of increased hospital stay (>6 days). Multiple logistic regression analysis showed that age (P=0.015; OR: 2.98) and evidence of bacterial culture (P=0.001; OR:6.64) were potential predictors associated with increased hospital stay. Conclusion: Our study showed that the age of the patient and evidence of bacterial culture were potential predictors of prolonged hospital stay among patients operated for maxillofacial space infections.
Citation
Gadicherla, S., Manglani, K., Pentapati, K. C., Kudva, A., Aramanadka, C., & Chandravel, R. (2024). Profile of patients with maxillofacial space infections and associated risk factors. The Scientific World Journal, 2024, article-number 9304671. https://doi.org/10.1155/2024/9304671
Publisher
Hindawi
Journal
The Scientific World Journal
Research Unit
DOI
10.1155/2024/9304671
PubMed ID
PubMed Central ID
Type
Article
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Series/Report no.
ISSN
2356-6140
EISSN
1537-744X