Email this article NEW ALGORITHMS OF DIAGNOSTICS OF HEAVY COMPLICATIONS OF ACUTE ODONTOGENIC INFECTION
- Authors: Gromov A.L.1, Gubin M.A2, Ivanov S.V1, Tishkov D.S1
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Affiliations:
- State budget educational establishment of higher professional education “Kursk State Medical University” of the Ministry of public health of the Russian Federation
- State budget educational establishment of higher professional education «N.N. Burdenko Voronezh State Medical University» of the Ministry of public health of the Russian Federation
- Issue: Vol 22, No 2 (2018)
- Pages: 82-87
- Section: Articles
- URL: https://ogarev-online.ru/1728-2802/article/view/42191
- DOI: https://doi.org/10.18821/1728-2802-2018-22-2-82-87
- ID: 42191
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Abstract
Introduction. At present, objective difficulties remain in the timely diagnosis and treatment of severe complications of acute odontogenic infection, including progressive odontogenic phlegmon, contact odontogenic mediastinitis, odontogenic sepsis. Goal. Develop an algorithm for diagnosis and treatment of severe inflammatory complications of acute odontogenic infection, taking into account the criteria of “Sepsis-3” and evaluate its effectiveness. Material and methods. To conduct a comparative evaluation of the results of the study, patients (311 people) were divided into 2 groups: a control group (247 people), in which diagnosis and treatment were performed using the criteria “Sepsis-1”, and the main group (64 people), diagnosis and treatment were performed with using the developed algorithm for diagnosis and treatment, which includes a number of additions to the criteria of “Sepsis-3” of the European Society of Critical States Medicine and the Society of Critical States Medicine (SCCM / ESICM). Results. Using the developed algorithm for diagnosis and treatment of patients with odontogenic inflammatory diseases of the maxillofacial area allows to significantly increase the efficiency of early diagnosis of purulent-inflammatory processes in the maxillofacial region (by 5.7%), to reduce the number of severe septic complications (by 6.6%). Discussion. The application of the criteria “Sepsis-3” is not an effective method of early diagnosis of odontogenic sepsis. The conclusion. The conducted study confirmed the effectiveness of the developed algorithm for diagnosis and treatment of severe inflammatory complications of acute odontogenic infection, taking into account the criteria of “Sepsis-3”.
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##article.viewOnOriginalSite##About the authors
Alexander Leonidovich Gromov
State budget educational establishment of higher professional education “Kursk State Medical University” of the Ministry of public health of the Russian Federation
Email: gromov.alexandr2011@yandex.ru
Cand. Med. Sci., Assistant of the Department of Surgical Dentistry and Maxillofacial Surgery State budget educational establishment of higher professional education “Kursk State Medical University” of the Ministry of public health of the Russian Federation 305041, Kursk, Russia
M. A Gubin
State budget educational establishment of higher professional education «N.N. Burdenko Voronezh State Medical University» of the Ministry of public health of the Russian Federation394036, Voronezh, Russia
S. V Ivanov
State budget educational establishment of higher professional education “Kursk State Medical University” of the Ministry of public health of the Russian Federation305041, Kursk, Russia
D. S Tishkov
State budget educational establishment of higher professional education “Kursk State Medical University” of the Ministry of public health of the Russian Federation305041, Kursk, Russia
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