DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20180694

Bacteriological profile of suppurative cervico-facial cellulitis of dental origin at the Lomé-CHU campus

Palakina P. Agoda, Saliou Adam, Hamza D. Sama, Harétfetéguina Bissa, Windpouiré P. Guiguimde, Pidem Hemou, Bina Betenora, Bathokedeou Amana, Eyawelohn Kpemissi

Abstract


Background: Cervico facial cellulitis is mainly complications of oral infections. A better knowledge of the main germs involved and their susceptibility to antibiotics is necessary for their treatment.

Methods: Three-year prospective study, carried out in the odontostomatology department of the CHU-Campus of Lome, fifty-five patients were included. The pus was taken by suction in a sterile single-use syringe and then directly seeded on agar. The incubation was carried out for 48 h.  

Results: The sample consisted of 28 men and 27 women. Fifty-four point fifty percent of patients were between 14 and 40 years of age. Forty-four cultures (80%) were positive. The main germs isolated were Staphylococcus aureus, Streptococci, Escherichia coli, and Klebsiella pneumoniae. The study showed good susceptibility of staphylococcus to quinolones, from streptococcus to aminoglycosides, quinolones, and amoxicillin-clavulanic acid, and Enterobacteria to cephalosporins, aminoglycosides and quinolones. In the same way, the total resistance of all these germs to tetracyclines was proved.

Conclusions: The resistance of Staphylococci and Streptococcus to betalactamins is a real public health problem.


Keywords


Cervical-facial cellulitis, Dental infection, Microbial flora, Susceptibility to antibiotics

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References


Xiaodong H, Jingang AN, Zhang YI, Gong XI, Yang HE. Risk Factors for Life-Threatening Complications of Maxillofacial Space Infection. J Craniofac Surg. 2016;27:385-90.

Clifton TC, Kalamchi S. A case of odontogenic brain abscess arising from covert dental sepsis. Ann R Coll Surg Engl. 2012;94:41-3.

Akhaddar A, Fouad E, Mostapha E, Mohammed M, Najib E, Brahim E, Abdelbar O, Mohammed B. Orbital Abscess Associated with Sinusitis from Odontogenic Origin. Inter Med. 2010;49:523-4.

Walia I, Borle R, Mehendiratta D, Abhilasha O, Yadav A. Microbiology and Antibiotic Sensitivity of Head and Neck Space Infections of Odontogenic Origin. J Maxillofac Oral Surg. 2014;13(1):16–21.

Yuvaraj V, Alexander M, Pasupathy S. Microflora in maxillofacial infections. A changing scenario? J Oral Maxillofac Surg. 2012;70:119-25.

Patankar A, Arun D, Rajesh K, Hariram, Vikram S, Akshay M. Evaluation of microbial flora in orofacial space infections of odontogenic origin. National J Maxillofacial Surg. 2014;5:161-5

Fating NS, Saikrishna D, Vijay K, Shetty S, Raghavendra R. Detection of Bacterial Flora in Orofacial Space Infections and Their Antibiotic Sensitivity Profile. J Maxillofac Oral Surg. 2014;13:525–32.

Kityamuwesi R, Muwaz L, Arabat K, Kajumbula H, Mugisha C. Characteristics of pyogenic odontogenic infection in patients attending Mulago Hospital, Uganda: a cross-sectional study. BMC Microbiol. 2015;15:46

Rashi B, Sumeet S, Kanwardeep S, Nilanchal S, Mohita G. Odontogenic infections: Microbiology and management. Contemporary Clin Dent. 2014;5:307-11.

Wang J, Ahani A, Pogrel M. A five-year retrospective study of odontogenic maxillofacial infection in a large urban public hospital. Int J Oral Maxillofac Surg. 2005;34:646-9.