Clinical and laboratory indicators as determinants of a pattern in the evolution of serious oral infections - A 3-year retrospective study
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/34564 |
Resumo: | Objective: To evaluate possible clinical and laboratory indicators that could determine a pattern in the evolution of infections and guide professionals to take a better approach, avoiding further complications and bad results. Material and Methods: Data from 440 patients were collected during 3 years at Hospital Alípio Corrêa Netto. The data collection period was from July 2018 to July 2021. We analyzed whether the presence of underlying diseases, trismus, oral spaces and whether or not changes in laboratory tests could determine a pattern in the course of treatment of infections. Results: Mean age was 26.5 years. The main signs and symptoms were: Pain, Prostration, Trismus, Fever, Odynophagia and dyspnea. In 65% of cases, multiple spaces were involved in the infection. The underlying disease showed greater statistical significance. Patients with underlying disease needed to be treated with general anesthesia due to the greater degree of severity. The mean length of hospital stay was 8.1 days for systemically compromised patients versus 4.2 for healthy patients. The CRP value was strongly influenced by the underlying disease, with an average of 45 mg/L for compromised patients versus less than 20 mg/L for healthy patients. Conclusion: Systemic patients should be treated with greater attention, because they tend to have higher trismus, CRP values, need for treatment in the operating room and length of stay, especially in the ICU, which demonstrates a greater severity of cases. |
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Clinical and laboratory indicators as determinants of a pattern in the evolution of serious oral infections - A 3-year retrospective studyIndicadores clínicos y de laboratorio como determinantes de un patrón en la evolución de las infecciones orales graves - Estudio retrospectivo de 3 añosIndicadores clínicos e laboratoriais como determinantes de um padrão na evolução das infecções orais graves - Estudo retrospectivo de 3 anosAbscessOral DiagnosisAngina Ludwing.AbscesoDiagnóstico bucalAngina Ludwing.AbscessoDiagnóstico BucalAngina Ludwing.Objective: To evaluate possible clinical and laboratory indicators that could determine a pattern in the evolution of infections and guide professionals to take a better approach, avoiding further complications and bad results. Material and Methods: Data from 440 patients were collected during 3 years at Hospital Alípio Corrêa Netto. The data collection period was from July 2018 to July 2021. We analyzed whether the presence of underlying diseases, trismus, oral spaces and whether or not changes in laboratory tests could determine a pattern in the course of treatment of infections. Results: Mean age was 26.5 years. The main signs and symptoms were: Pain, Prostration, Trismus, Fever, Odynophagia and dyspnea. In 65% of cases, multiple spaces were involved in the infection. The underlying disease showed greater statistical significance. Patients with underlying disease needed to be treated with general anesthesia due to the greater degree of severity. The mean length of hospital stay was 8.1 days for systemically compromised patients versus 4.2 for healthy patients. The CRP value was strongly influenced by the underlying disease, with an average of 45 mg/L for compromised patients versus less than 20 mg/L for healthy patients. Conclusion: Systemic patients should be treated with greater attention, because they tend to have higher trismus, CRP values, need for treatment in the operating room and length of stay, especially in the ICU, which demonstrates a greater severity of cases. Objetivo: Evaluar posibles indicadores clínicos y de laboratorio que puedan determinar un patrón en la evolución de las infecciones y orientar a los profesionales a un mejor abordaje, evitando mayores complicaciones y malos resultados. Material y Métodos: Se recolectaron datos de 440 pacientes durante 3 años en el Hospital Alípio Corrêa Netto. El período de recolección de datos fue de julio de 2018 a julio de 2021. Se analizó si la presencia de enfermedades de base, trismus, espacios orales y si los cambios en los exámenes de laboratorio podrían determinar un patrón en el curso del tratamiento de las infecciones. Resultados: La edad media fue de 26,5 años. Los principales signos y síntomas fueron: Dolor, Postración, Trismo, Fiebre, Odinofagia y Disnea. En el 65% de los casos, múltiples espacios estaban involucrados en la infección. La enfermedad de base mostró mayor significación estadística. Los pacientes con enfermedad de base necesitaban ser tratados con anestesia general debido al mayor grado de gravedad. La duración media de la estancia hospitalaria fue de 8,1 días para los pacientes con compromiso sistémico frente a 4,2 para los pacientes sanos. El valor de CRP estuvo fuertemente influenciado por la enfermedad subyacente, con un promedio de 45 mg/L para pacientes comprometidos versus menos de 20 mg/L para pacientes sanos. Conclusión: Los pacientes sistémicos deben ser tratados con mayor atención, ya que suelen tener mayor trismus, valores de PCR, necesidad de tratamiento en quirófano y tiempo de estancia, sobre todo en UCI, lo que demuestra una mayor gravedad de los casos.Objetivo: Avaliar possíveis indicadores clínicos e laboratoriais que podiam determinar um padrão na evolução das infecções e orientar os profissionais a tomarem uma melhor conduta, evitando maiores complicações e maus resultados. Material e Métodos: Foram colhidos os dados de 440 pacientes, durante 3 anos no Hospital Alípio Corrêa Netto. O período de coleta de dados foi de julho 2018 a julho 2021. Foram analisados se a presença de doenças de base, o trismo, os espaços bucais e se as alterações de exames laboratoriais podiam ou não determinar um padrão no curso do tratamento das infecções. Resultados: Idade média foi 26,5 anos. Os principais sinais e sintomas foram: dor, prostração, trismo, febre, odinofagia e a dispneia. Em 65% dos casos, múltiplos espaços estavam envolvidos na infecção. A doença de base apresentou maior significância estatística. Os pacientes com doença de base precisaram ser tratados com anestesia geral devido ao maior grau de gravidade. A média de dias de internação foi de 8,1 dias para pacientes sistemicamente comprometidos contra 4,2 dos pacientes hígidos. O valor da PCR foi fortemente influenciado pela doença de base, apresentando média de 45 mg/L para pacientes comprometidos contra menos de 20 mg/L dos pacientes hígidos. Conclusão: Pacientes sistêmicos devem ser tratados com uma atenção maior, porque tendem a apresentar maiores trismo, valores da PCR, necessidade de tratamento em centro cirúrgico e tempo de internação principalmente na UTI, o que demonstra uma maior gravidade dos casos.Research, Society and Development2022-09-13info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/3456410.33448/rsd-v11i12.34564Research, Society and Development; Vol. 11 No. 12; e250111234564Research, Society and Development; Vol. 11 Núm. 12; e250111234564Research, Society and Development; v. 11 n. 12; e2501112345642525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/34564/29041Copyright (c) 2022 Marcelo Teruyoshi Saizaki; Fernando Vagner Raldi; Michelle Bianchi de Moraes; Rodrigo Dias Nascimentohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSaizaki, Marcelo TeruyoshiRaldi, Fernando VagnerMoraes, Michelle Bianchi de Nascimento, Rodrigo Dias2022-09-26T11:56:08Zoai:ojs.pkp.sfu.ca:article/34564Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:49:48.734631Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Clinical and laboratory indicators as determinants of a pattern in the evolution of serious oral infections - A 3-year retrospective study Indicadores clínicos y de laboratorio como determinantes de un patrón en la evolución de las infecciones orales graves - Estudio retrospectivo de 3 años Indicadores clínicos e laboratoriais como determinantes de um padrão na evolução das infecções orais graves - Estudo retrospectivo de 3 anos |
title |
Clinical and laboratory indicators as determinants of a pattern in the evolution of serious oral infections - A 3-year retrospective study |
spellingShingle |
Clinical and laboratory indicators as determinants of a pattern in the evolution of serious oral infections - A 3-year retrospective study Saizaki, Marcelo Teruyoshi Abscess Oral Diagnosis Angina Ludwing. Absceso Diagnóstico bucal Angina Ludwing. Abscesso Diagnóstico Bucal Angina Ludwing. |
title_short |
Clinical and laboratory indicators as determinants of a pattern in the evolution of serious oral infections - A 3-year retrospective study |
title_full |
Clinical and laboratory indicators as determinants of a pattern in the evolution of serious oral infections - A 3-year retrospective study |
title_fullStr |
Clinical and laboratory indicators as determinants of a pattern in the evolution of serious oral infections - A 3-year retrospective study |
title_full_unstemmed |
Clinical and laboratory indicators as determinants of a pattern in the evolution of serious oral infections - A 3-year retrospective study |
title_sort |
Clinical and laboratory indicators as determinants of a pattern in the evolution of serious oral infections - A 3-year retrospective study |
author |
Saizaki, Marcelo Teruyoshi |
author_facet |
Saizaki, Marcelo Teruyoshi Raldi, Fernando Vagner Moraes, Michelle Bianchi de Nascimento, Rodrigo Dias |
author_role |
author |
author2 |
Raldi, Fernando Vagner Moraes, Michelle Bianchi de Nascimento, Rodrigo Dias |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Saizaki, Marcelo Teruyoshi Raldi, Fernando Vagner Moraes, Michelle Bianchi de Nascimento, Rodrigo Dias |
dc.subject.por.fl_str_mv |
Abscess Oral Diagnosis Angina Ludwing. Absceso Diagnóstico bucal Angina Ludwing. Abscesso Diagnóstico Bucal Angina Ludwing. |
topic |
Abscess Oral Diagnosis Angina Ludwing. Absceso Diagnóstico bucal Angina Ludwing. Abscesso Diagnóstico Bucal Angina Ludwing. |
description |
Objective: To evaluate possible clinical and laboratory indicators that could determine a pattern in the evolution of infections and guide professionals to take a better approach, avoiding further complications and bad results. Material and Methods: Data from 440 patients were collected during 3 years at Hospital Alípio Corrêa Netto. The data collection period was from July 2018 to July 2021. We analyzed whether the presence of underlying diseases, trismus, oral spaces and whether or not changes in laboratory tests could determine a pattern in the course of treatment of infections. Results: Mean age was 26.5 years. The main signs and symptoms were: Pain, Prostration, Trismus, Fever, Odynophagia and dyspnea. In 65% of cases, multiple spaces were involved in the infection. The underlying disease showed greater statistical significance. Patients with underlying disease needed to be treated with general anesthesia due to the greater degree of severity. The mean length of hospital stay was 8.1 days for systemically compromised patients versus 4.2 for healthy patients. The CRP value was strongly influenced by the underlying disease, with an average of 45 mg/L for compromised patients versus less than 20 mg/L for healthy patients. Conclusion: Systemic patients should be treated with greater attention, because they tend to have higher trismus, CRP values, need for treatment in the operating room and length of stay, especially in the ICU, which demonstrates a greater severity of cases. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-09-13 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/34564 10.33448/rsd-v11i12.34564 |
url |
https://rsdjournal.org/index.php/rsd/article/view/34564 |
identifier_str_mv |
10.33448/rsd-v11i12.34564 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/34564/29041 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 11 No. 12; e250111234564 Research, Society and Development; Vol. 11 Núm. 12; e250111234564 Research, Society and Development; v. 11 n. 12; e250111234564 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052723049267200 |