Characteristics of Pyogenic Odontogenic Infection in Patients Attending Mulago Hospital, Uganda: A Cross-Sectional Study

dc.contributor.authorKityamuwesi, Richard
dc.contributor.authorMuwaz, Louis
dc.contributor.authorKasangaki, Arabat
dc.contributor.authorKajumbula, Henry
dc.contributor.authorRwenyonyi, Charles Mugisha
dc.date.accessioned2022-03-07T18:38:10Z
dc.date.available2022-03-07T18:38:10Z
dc.date.issued2015
dc.description.abstractPredisposing factors of pyogenic odontogenic infection include dental caries, pericoronitis, periodontitis, trauma to the dentition and the supporting structures or complications of dental procedures. The infections are usually polymicrobial involving normal endogenous flora. We characterised pyogenic odontogenic infection in patients attending Mulago Hospital, Uganda.Of the 130 patients, 62 (47.7%) were female. The most frequently involved fascial spaces were: the buccal, 52 (25.4%); submasseteric, 46 (22.4%) and the submandibular space, 36 (17.5%). Dental caries was the most prevalent predisposing factor, particularly of the lower third molar teeth. Viridans Streptococci Group and Staphylococcus aureus were the most frequent bacterial isolates: 23.5% and 19.4%, respectively. All Viridans Streptococci isolates were resistant to penicillin G, sulfamethoxazole/trimethoprim (cotrimoxazole), ampicillin and tetracycline, but susceptible to vancomycin. All Staphylococcus aureus strains were resistant to cotrimoxazole and ampicillin while retaining susceptibility to vancomycin, cefotaxime, linezolid, moxifloxacin and amoxicillin/clavulanate. Thirty five (26.9%) patients were HIV infected and the HIV status did not significantly influence the pattern of odontogenic infection.Dental caries was the most prevalent predisposing factor for pyogenic odontogenic infection. High prevalence of bacterial resistance to ampicillin and cotrimoxazole suggests the need for regular antibiotic susceptibility tests of isolates and rational use of antibiotics in the management of these infections. Prevention requires strengthening of oral health in the community.en_US
dc.identifier.citationKityamuwesi, R., Muwaz, L., Kasangaki, A., Kajumbula, H., & Rwenyonyi, C. M. (2015). Characteristics of pyogenic odontogenic infection in patients attending Mulago Hospital, Uganda: a cross-sectional study. BMC microbiology, 15(1), 1-10.https://doi.org/10.1186/s12866-015-0382-zen_US
dc.identifier.issn1471-2180
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/2546
dc.language.isoenen_US
dc.publisherBMC microbiologyen_US
dc.subjectAntibiotics, Bacterial isolates, HIV, Odontogenic infection, Susceptibilityen_US
dc.titleCharacteristics of Pyogenic Odontogenic Infection in Patients Attending Mulago Hospital, Uganda: A Cross-Sectional Studyen_US
dc.typeArticleen_US
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