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. 2022 Dec 16;101(50):e31345. doi: 10.1097/MD.0000000000031345

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.