口腔颌面部间隙感染患者病原菌与危险因素
Pathogens and risk factors for oral and maxillofacial space infection
俞诚波 1蔡敏秋 1许红苗 1徐海红 1郭剑林1
作者信息
- 1. 温岭市第一人民医院口腔科,浙江台州 317500
- 折叠
摘要
目的 探讨口腔颌面部间隙感染患者病原学分布特征与影响因素.方法 回顾性选取103例2020年1月—2022年12月温岭市第一人民医院收治的口腔颌面部间隙感染患者的临床资料作为感染组(n=103),另选择103例同期医院收治未发生口腔颌面部间隙感染的口腔颌面外科住院患者的临床资料作为非感染组(n=103).统计口腔颌面部间隙感染发生部位,分析病原学分布特征及口腔颌面部间隙感染的影响因素.结果 103例口腔颌面部间隙感染患者单间隙感染占84.47％,主要为眶下间隙、咬肌间隙、颊间隙、颌下间隙;多间隙感染16例,占15.53％,主要为咬肌+翼颌间隙、眶下+颞下间隙;共培养出病原菌112株,其中革兰阳性菌占59.82％,革兰阴性菌占38.39％;口腔颌面部间隙感染患者的影响因素为年龄大、有吸烟史、营养状况不良、有糖尿病、医源性操作不当(P＜0.05).结论 口腔颌面部间隙感染患者以单间隙感染为主;感染主要病原菌为金黄色葡萄球菌、肺炎克雷伯菌,其影响因素包括年龄大、有吸烟史、营养状况不良、有糖尿病、医源性操作不当.
Abstract
OBJECTIVE To investigate the pathogenic distribution characteristics and risk factors predisposing to o-ral and maxillofacial space infection(MSI).METHODS Totally 103 patients with oral and maxillofacial space in-fection admitted to the First People's Hospital of Wenling from Jan 2020 to Dec 2022 were retrospectively recrui-ted as the infected group(n=103 cases);103 patients who were hospitalized in the department of oral and maxil-lofacial surgery and did not have oral and maxillofacial space infection during the same period were included in the non-infected group(n=103 cases).The space involved,pathogenic distribution and susceptibility factors of oral and maxillofacial space infection were analyzed.RESULTS Among oral and maxillofacial space infection in 103 pa-tients,single space infection accounted for 84.47％.The main infection sites were suborbital space,masseter space,buccal space and submaxillary space.Multiple-space infection occurred in 16 cases(15.53％),mainly in masseter-pterygnathic space,suborbital-subtemporal space.A total of 112 strains of pathogenic bacteria were i-dentified,among which the gram-positive bacteria accounted for 59.82％and gram-negative bacteria accounted for 38.39％.Older age,smoking history,poor nutritional status,diabetes,rotor-induced malpractice were independ-ent risk factors for oral and maxillofacial space infection(P＜0.05).CONCLUSION The patients with oral and maxillofacial space infection were mainly involved in single space.The main pathogenic bacteria were Staphylococ-cus aureus and Klebsiella pneumoniae.The risk factors included old age,smoking history,poor nutrition,diabe-tes and iatrogenic malpractice.
关键词
口腔颌面部/间隙感染/病原学/危险因素/感染部位Key words
Oral and maxillofacial/Space infection/Etiology/Risk factor/Infection sites引用本文复制引用
基金项目
浙江省科学研究项目(2021YJ031501)
出版年
2024
NETL
NSTL
万方数据