https://scholars.lib.ntu.edu.tw/handle/123456789/569705
標題: | Post-tooth extraction sepsis without locoregional infection - A population-based study in Taiwan | 作者: | JANG-JAER LEE Hahn L.-J. Kao T.-P. Liu C.-H. SHIH-JUNG CHENG Cheng S.-L. HAO-HUENG CHANG JIIANG-HUEI JENG SANG-HENG KOK |
公開日期: | 2009 | 卷: | 15 | 期: | 8 | 起(迄)頁: | 602-607 | 來源出版物: | Oral Diseases | 摘要: | To investigate the incidence and risk factors of post-tooth extraction sepsis in patients without locoregional infection. Subjects and Methods: We assessed all claim records of the Taiwanese National Health Insurance program in 2005. Admissions for patients aged ?16 years containing a discharge diagnosis of sepsis, and who received tooth extraction within 14 days before the admission were identified. Patient charts were reviewed to confirm the diagnosis of sepsis and rule out other infection sources. The relationship between postextraction sepsis (PES) and clinical parameters was analyzed. Results: Thirty-three of the 2 223 971 extraction cases met the criteria of PES, an incidence of 1.48 per 100 000, and seven patients (21.2%) died of the disease. Aging significantly increased the risk of PES (P < 0.001). Pre-existing comorbidities were found in 20 of the 33 cases, with diabetes mellitus and hematologic diseases the most common. The method, number, and position of extraction had no influence on PES incidence. Blood cultures were positive in 25 patients (75.8%) and isolates included species of the Streptococcus, Actinomyces, Klebsiella, Bacteroides, Prevotella, and Enterococcus genera. Conclusion: Tooth extraction is associated with a low but significant risk of postoperative sepsis, especially in the elderly and patients with underlying diseases. ? 2009 John Wiley and Sons A/S. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-70349960041&doi=10.1111%2fj.1601-0825.2009.01596.x&partnerID=40&md5=298bc0440e92867da283c1b54140e4db https://scholars.lib.ntu.edu.tw/handle/123456789/569705 |
ISSN: | 1354-523X | DOI: | 10.1111/j.1601-0825.2009.01596.x | SDG/關鍵字: | amoxicillin; cephalosporin; Actinomyces; adolescent; adult; aged; aging; antibiotic prophylaxis; article; Bacteroides; blood culture; clinical article; comorbidity; Enterococcus; fatality; female; human; incidence; infection; infection risk; Klebsiella; male; microbial identification; postoperative complication; Prevotella; priority journal; risk factor; sepsis; Streptococcus; Taiwan; tooth extraction; treatment outcome; Adult; Age Distribution; Aged; Aged, 80 and over; Female; Focal Infection, Dental; Humans; Incidence; Male; Middle Aged; Postoperative Complications; Retrospective Studies; Risk Factors; Sepsis; Surgical Wound Infection; Taiwan; Tooth Extraction; Young Adult |
顯示於: | 臨床牙醫學研究所 |
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