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Antimicrobial choice of severe endodontic infection

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Author(s)
조주연
Alternative Author(s)
Cho, Ju Yeon
Issued Date
2014
Keyword
PenicillinAntimicrobialEndodonticInfectionSusceptibility
Abstract
Objectives : The purpose of our study was to evaluate penicillin as a still drug of choice for severe endodontic infection, by analyzing the antimicrobial susceptibilities from endodontic infections with swelling to figure out appropriate antibiotics as empirical treatment. Materials and methods : This study involved 18 patients who attended for emergency treatment because of facial or periapical swelling associated with root canal infections. Identification and ntimicrobial susceptibility test of each pathogen were performed by Vitek2 Systems (bioMérieux, Marcy l’Etoile, France). Results : The most frequent bacteria was Streptococcus spp.(77%), and the resistance against penicillin was 35% in overall patients, followed by clindamycin and erythromycin (17%), which was much higher than previous studies. Conclusions : In our study, the higher resistance made penicillin alone not to be chosen as the first antibiotic drug for severe endodontic infections. Combinations with other drug, penicillin with wider spectrum of activity, or changing to other antibiotics was considered while remembering the increased risk of resistant microorganism.
Alternative Title
심한 근관 감염에서의 항생제 선택
Department
Dept. of Dentistry (치과학)
Publisher
School of Medicine
Citation
대한치과의사협회지, Vol.52(7) : 425-431, 2014
Type
Article
ISSN
0376-4672
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/39716
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Dentistry (치과학)
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