Table 2.
Variables included in the study.
Metodology | Main Bacteria Identified | Treatment | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Autor | Study type | Objective | Patients number study | Main age patients’ study (years) | Diagnosis | Zone of infection | Identify microorganism | Aerobe | Anaerobe | Type drug | Adyuvant treatment | Type antibiotic resistance | Conclusion |
Aneesh (2019) | In vitro | Identify the causative aerobic and anaerobic micro- organisms responsible for head and neck facial space infections and to evaluate the resistance against empirical antibiotics used in the treatment of space infections. | 142 | Odontogenic infections | Vestibular space | Yes | Streptococcus Viridans | Peptostreptococcus | NS | NS | Amoxicillin | There should be substitution of miscellaneous group of antibiotics such as linezolid, clindamycin, third generation cephalosporins such as cefixime, cefotaxime, and fluroqunolones such as ofloxacin and levofloxacin for amoxicillin in the empirical management of odontogenic space infections | |
Farmahan S (2014) | Retrospective study | Investigate whether the microbiological picture and antibiotic sensitivity of space infections in the head and neck have changed over the last 30–40 years. | 150 | 39 | Odontogenic infections | Periapical | Yes | Streptoccossus viridans | Prevotella | Co-amoxiclav | Tooth extraction | Penicillin | Penicillin (amoxicillin) still remains the drug of choice for odontogenic space infections in the head and neck because it is effective and has minimal side effects |
Nils Heim (2020) | Retrospective study | Precisely categorize the identified microbial flora and the susceptibility to antibiotics | 206 | 50.6 | Odontogenic infections | Peri-mandibular/buccal | Yes | Streptococcus | Prevotella | NS | NS | Cephadroxil and clindamycin | Streptococcus species were the most frequently identified bacteria in our study presenting antibiotic resistance in more than 50%. |
Inderdeep Singh Walia (2014) | Descriptive study | Assess the anatomical spaces and causative microorganisms responsible for deep fascial space head and neck infections, to evaluate the resistance of antibiotics used in treatment of these infection | 42 | 38 | Odontogenic infections | Sub-mandibular | Yes | Klebsiella | Staph aureus | NS | NS | Penicillin and erythromycin | The key issue here, which needs to be remembered, is that antibiotics alone cannot resolve odontogenic infection satisfactorily |
López - González E (2019) | Descriptive study | Evaluate the susceptibility to diferent groups of antibiotics of aerobic and anaerobic microorganisms isolated from purulent exudates of hospitalized patients with severe odontogenic infections | 14 | 37.5 | Odontogenic infections | Submaxillary | Yes | Streptococcus | Clostridium | Clindamycin/ ceftriaxone | Exodontia/ Surgical drainage | Ceftriaxone | The causal microorganisms of odontogenic infections show high resistance to standard antibiotic therapy regimes and cause serious health problems |
Mamta Singh (2014) | Descriptive study | Emphasize the detection of pathogenic microorganisms by microbiological examination and culture of specimens representative of the infection, importance of early and correct diagnosis of infections, prompt treatment and supportive care | 30 | 32.4 | Odontogenic infections | Mandibular tooth | Yes | Alpha hemolityc streptococci | Peptostreptococcus | NS | NS | Erythromycin | Importance of thorough drainage of the infected site cannot be overlooked and this should be supported by proper antibiotic therapy based on culture and sensitivity reports. |
Narita M (2016) | Descriptive study | Investigate the effectiveness of commonly use antimicrobial agents in the treatment of orofacial odontogenic infections | 10 | Odontogenic infections | Periodontal lesions | Yes | NS | NE | NS | NS | Amoxicilin | Amoxicilin, Cefmetazole and clindamycin are still likely to be effective in the treatment of periapical periodontitis. However these microbial agents, and amozicilin in particular, carry the considerable risk of clinical treatment failure dua to increase in the nubres of resistante strains | |
Heim N. (2017) | Retrospective study | Evaluate whether susceptibility and resistances of bacteria to antibiotics have an influence on how patients have to be treated (inpatient or outpatient management) or not. | 107 | 48.3 | Odontogenic infections | NS | Yes | Staphylococcus/ S. viridans group | Prevotella | Ampicillin/ sulbactam | Surgical incision and drainage | Clindamycin | Penicillin continues to be a highly effective antibiotic against viridans Streptococci, group C Streptococci and Prevotella, whereas clindamycin could not be shown to be effective as an empirical drug of choice for a large number of odontogenic infections. |
Adamson OO (2019) | Retrospective study | Isolate organisms involved in odontogenic infections and compare the sensitivity of the organisms to Ceftriax- one and Amoxicillin-Clavulanate. | 55 | 39 | Odontogenic infections | Dentoalveolar | Yes | Staphylococcus aureus | Klebsiella pneumoniae | NS | NS | Amoxicillin/ clavulanate | Organisms involved in severe odontogenic infections are more resistant to amoxicillin-clavulanate than to ceftriaxone according to our foundings. Thus, ceftriaxone should be considered as an empirical antibiotic for severe odontogenic infections. |
Plum A. (2018) | Retrospective study | Characterize the current microbial ora and associated antibiotic resistances observed in Upstate New York. | 131 | 35.1 | Odontogenic infections | NS | Yes | Staphylococcus | Streptococcus/ prevotella | NS | Surgical incision and drainage | Clindamycin and erythromycin | The most common antibiotics to which resistance was observed were clindamycin and erythromycin, which should be considered when choosing initial antibiotic therapy, especially in adult patients |
Sánchez R (2011) | Retrospective study | A retrospective analysis of the odontogenic infections treated in La Paz University Hospital (Madrid, Spain) during the years 2007 and 2008 | 151 | 49.3 | Odontogenic infections | NS | Yes | Streptococcus viridians | Prevotella | Clindamycin/ Gentamycin | Drainage or extraction | Erythromycin/ Clarithromycin | the use of antibiotics in head and neck infections requires updated protocols based on the existing scienti c evidence relating to pathogen pro le and resistances |
Rasteniene r. (2015) | Retrospective study | Analyze treatment modalities and results in patients with severe odontogenic maxillofacial infections during a 10-y period. | 1077 | 37 | Odontogenic infections | Sub-mandibular | Yes | Streptococcus haemolyticus | Gamma-hemolytic Streptococcus | Gentamicin or metronidazole | NS | Metronidazole. | The sensitivity of a microorganism to penicillin remains high, therefore, penicillin can be the drug of first choice for treatment of odontogenic maxillofacial infections |
Kityamuwesi R. (2015) | Descriptive study | Determine the microbiology of pyogenic odonto- genic infection and perform antibiotic susceptibility tests in patients attending Mulago Hospital, Uganda | 136 | 29.5 | Odontogenic infections | Mandibular | Yes | Viridans Streptococci | Anaerobic bacilli | NS | NS | Cotrimoxazole/ ampicilli | Dental caries was the most common predisposing factor for pyogenic odontogenic infection, which requires community oral health education. Overall, there was high bacterial resistance to tetracycline, penicillin G, ceftazidime, ampicillin and cotrimoxazole, suggesting the need for susceptibility tests of isolates and rational use of antibiotic in the management of these infections. |
NS = Not specified.