A Retrospective Review Of Medical Records Of Maxillofacial Space Infection

1. A clinical analysis of epidemiological characteristics of patients with maxillofacial space infection.Objective: To understand the epidemiological characteristics of patients with maxillofacial space infection.Methods: A retrospective review of patients admitted to the fourth military medical university stomatological hospital from2010 to 2015 was carried out and the medical records were analyzed.Results: 321 patients with oral and maxillofacial space infection was treated and analyzed. The number of males was 167 and the number of females was 154. 34.02% of the patients were aged above 60 years. The most common cause was odontogenic infection(54.8%). The submandibular space was the space most commonly involved in both single space and multiple space infections(43.5% and 38.6%).The most common life-threatening complication was upper airway obstruction. The mean age of patients with life-threatening complications was 52.4 years.Conclusions: The most common cause of the maxillofacial space infection was odontogenic infection. We could select the best treatment in order to avoid life-threatening complications and decrease the associated mortality.2. A clinical Analysis of microbiology and antibiotic characteristics of patients with maxillofacial space infection.Objectives: The objective of this study was to investigate the epidemiological characteristics of the maxillofacial space infection patients went to our department and guide the clinical treatment of our hospital.Methods: A retrospective review of patients admitted to the fourth military medical university stomatological hospital from2010 to 2015 was carried out and the microbiology and antibiotic records were analyzedResults: The most common bacteria was Hemolytic streptococcus.63.5% of the isolated bacteria was sensitive to the penicillin, 92.9% sensitive to the cefazolin, 31.2% were resistant to penicillin and 54.5% were resistant to erythromycin.Conclusions: Surgical drainage and antibiotics were effective to control the maxillofacial space infection. Cefazolin is useful in the clinical mediation. The drug sensitivity may have changed and we can change the clinical medication if necessary. And we should also pay close attention to the medical condition of farmers.