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  4. Examining the correlation between diabetes and odontogenic infection: A nationwide, retrospective, matched-cohort study in Taiwan
 
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Examining the correlation between diabetes and odontogenic infection: A nationwide, retrospective, matched-cohort study in Taiwan

Journal
PLoS ONE
Journal Volume
12
Journal Issue
6
Date Issued
2017
Author(s)
HUI-HSIN KO  
Chien W.-C.
YEN-HUNG LIN  
Chung C.-H.
SHIH-JUNG CHENG  
DOI
10.1371/journal.pone.0178941
URI
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85020430090&doi=10.1371%2fjournal.pone.0178941&partnerID=40&md5=0b7d1d3f84bffa107ba89bc5e06eea1f
https://scholars.lib.ntu.edu.tw/handle/123456789/527656
Abstract
More than 90% of head and neck infections are caused by pathological changes originating in the teeth. When odontogenic infections are not properly treated, infections may spread to distant spaces and cause more serious infections in fascial spaces, ultimately leading to deep neck infections. Clinical experience has indicated that patients with diabetes mellitus (DM) may be more susceptible to facial cellulitis and deep neck infections caused by odontogenic infections. This study used the Taiwan National Health Insurance Database (NHIRD) to analyze and examine the correlation between DM and odontogenic infections in patients. To this end, this study analyzed 1 million NHIRD individual datasets from 2005, of which 964,182 individuals had medical treatment records. The insurance database also recorded related factors such as age, sex, duration of hospital stays, season, and whether patients were low income. We also analyzed the correlation between urbanization and the studied diseases. The results indicated that the correlation between facial cellulitis and DM patients was confirmed; facial cellulitis was most likely to occur 2 years after the initial DM diagnosis, with a risk occurrence 1.409 times greater than that of the control group. Facial cellulitis is more likely to occur in patients originating from poorer socioeconomic backgrounds, and female DM patients are more likely to experience this condition. These conclusions may facilitate the establishment of clinical guidelines for preventative education and treatment. Oral prevention and health education for high-risk patients, as well as early-stage surgical intervention and antibiotic usage in early-stage odontogenic infections, can prevent disease progression, improve patient recovery rates, and reduce the use and waste of medical resources. ? 2017 Ko et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
SDGs

[SDGs]SDG3

Other Subjects
antibiotic agent; adult; Article; cellulitis; cohort analysis; convalescence; diabetes mellitus; disease association; drug effect; experience; face disorder; facial cellulitis; female; health education; high risk patient; human; length of stay; lowest income group; major clinical study; male; medical record review; seasonal variation; social status; Taiwan; tooth infection; urbanization; aged; algorithm; diabetes mellitus; Kaplan Meier method; middle aged; mortality; pathophysiology; proportional hazards model; retrospective study; Adult; Aged; Algorithms; Cellulitis; Diabetes Mellitus; Female; Humans; Kaplan-Meier Estimate; Male; Middle Aged; Proportional Hazards Models; Retrospective Studies; Taiwan
Publisher
Public Library of Science
Type
journal article

臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of “NTU Repository” with “Academic Hub” to form NTU Scholars.

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開放取用是從使用者角度提升資訊取用性的社會運動,應用在學術研究上是透過將研究著作公開供使用者自由取閱,以促進學術傳播及因應期刊訂購費用逐年攀升。同時可加速研究發展、提升研究影響力,NTU Scholars即為本校的開放取用典藏(OA Archive)平台。(點選深入了解OA)

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