Analysis of maxillofacial and neck spaces infection in diabetic and Non–Diabetic Patients.

Birendra K. Yadav; Anil Kumar Yadav; Pooja Yadav

Volume : IX, Issue : V, May - 2019

Analysis of maxillofacial and neck spaces infection in diabetic and Non–Diabetic Patients.

Birendra K. Yadav, Anil Kumar Yadav, Pooja Yadav

Abstract :

Introduction: Dental infection has plagued humankind for as long as our civilization has been a fight against microorganisms by man dates back to ancient civilization. The discoveries of antibiotics are encouraging trends towards conquest of the microbial infection. The microbiology of odontogenic infections in diabetic and nondiabetic individuals has been found to be variable. In light of this, a study was conducted to compare the odontogenic spaces involved, antibiotic susceptibility of microorganisms, length of hospital stay, and the outcome of treatment in diabetic versus nondiabetic individuals Material & Methods: The study was carried out in the department of Medicine and Dental of GCRG, Lucknow . A total 100 patients were included in the study who presented to our unit. Patients were divided into two groups based on their diabetic status; group I. Diabetic (50) and group II (50) Non –Diabetic. Written consent was obtained from patients that participated in the study. Result : A total of 100 patients were included in the study; 73 patients (73.0%) were men and 27 patients (27.0%) were women. Group I included 50 patients and group II had 50 patients. The mean age in group I was 47 years and 51 years in group II.(Table 1).Of the organisms isolated, Klebsiella spp and streptococcus spp. was the most common bacteria in group I (5.5%) and group II was Gram–positive the most common organism in group. (table 2). Discussion: The hospitalization period in the diabetic group is longer than a non–diabetic group. This is mostly because the diabetic group had more complications; more spaces were involved and more time was required to control blood sugar. diabetic groups complication was more than non–diabetic. Conclusion : In conclusion, this study highlights diabetes mellitus as a leading risk factor for facial space infection, despite the availability of effective antibiotics and inspite of developing diagnostic tools. In our study, the diabetic patient underwent extended hospitalization.