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Article: Bacteraemia following incision and drainage of dento-alveolar abscesses.
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TitleBacteraemia following incision and drainage of dento-alveolar abscesses.
 
AuthorsFlood, TR1
Samaranayake, LP1
Macfarlane, TW1
Mclennan, A1
Mackenzie, D1
Carmichael, F1
 
Issue Date1990
 
PublisherNature Publishing Group. The Journal's web site is located at http://www.bdj.co.uk
 
CitationBritish Dental Journal, 1990, v. 169 n. 2, p. 51-53 [How to Cite?]
 
AbstractTwenty-five patients undergoing routine incision and drainage of dento-alveolar abscesses were screened for bacteraemia during the procedure. In 13 patients, the abscesses were aspirated with a needle prior to incision and drainage, while needle aspiration was omitted in the remaining 12. A blood sample was taken from all individuals immediately before the surgical procedures and at one-minute intervals for a period of 5 minutes after surgery. Needle aspiration of pus resulted in a significant reduction (P less than 0.05) in the bacteraemic episodes (0 out of 13) during subsequent surgery as compared with incision and drainage, without aspiration (3 out of 12). Bacteraemia appeared to be transient, although in one case it was detected at 5 minutes. It is concluded that bacteraemic episodes occur during incision and drainage of dento-alveolar abscesses and this may be reduced by aspiration of the abscess contents prior to incision and drainage. In addition, the aspirates could serve as excellent microbiological samples, uncontaminated with salivary flora. The need for antibiotic cover in at risk patients, however, needs to be established by further studies.
 
ISSN0007-0610
2013 Impact Factor: 1.076
 
ISI Accession Number IDWOS:A1990DQ80000015
 
DC FieldValue
dc.contributor.authorFlood, TR
 
dc.contributor.authorSamaranayake, LP
 
dc.contributor.authorMacfarlane, TW
 
dc.contributor.authorMclennan, A
 
dc.contributor.authorMackenzie, D
 
dc.contributor.authorCarmichael, F
 
dc.date.accessioned2012-08-08T08:21:17Z
 
dc.date.available2012-08-08T08:21:17Z
 
dc.date.issued1990
 
dc.description.abstractTwenty-five patients undergoing routine incision and drainage of dento-alveolar abscesses were screened for bacteraemia during the procedure. In 13 patients, the abscesses were aspirated with a needle prior to incision and drainage, while needle aspiration was omitted in the remaining 12. A blood sample was taken from all individuals immediately before the surgical procedures and at one-minute intervals for a period of 5 minutes after surgery. Needle aspiration of pus resulted in a significant reduction (P less than 0.05) in the bacteraemic episodes (0 out of 13) during subsequent surgery as compared with incision and drainage, without aspiration (3 out of 12). Bacteraemia appeared to be transient, although in one case it was detected at 5 minutes. It is concluded that bacteraemic episodes occur during incision and drainage of dento-alveolar abscesses and this may be reduced by aspiration of the abscess contents prior to incision and drainage. In addition, the aspirates could serve as excellent microbiological samples, uncontaminated with salivary flora. The need for antibiotic cover in at risk patients, however, needs to be established by further studies.
 
dc.description.naturelink_to_subscribed_fulltext
 
dc.identifier.citationBritish Dental Journal, 1990, v. 169 n. 2, p. 51-53 [How to Cite?]
 
dc.identifier.epage53
 
dc.identifier.isiWOS:A1990DQ80000015
 
dc.identifier.issn0007-0610
2013 Impact Factor: 1.076
 
dc.identifier.issue2
 
dc.identifier.pmid2390387
 
dc.identifier.scopuseid_2-s2.0-0025712218
 
dc.identifier.spage51
 
dc.identifier.urihttp://hdl.handle.net/10722/153732
 
dc.identifier.volume169
 
dc.languageeng
 
dc.publisherNature Publishing Group. The Journal's web site is located at http://www.bdj.co.uk
 
dc.publisher.placeUnited Kingdom
 
dc.relation.ispartofBritish dental journal
 
dc.subject.meshBacteria - Isolation & Purification
 
dc.subject.meshDrainage
 
dc.subject.meshFemale
 
dc.subject.meshHumans
 
dc.subject.meshMale
 
dc.subject.meshPeriodontal Abscess - Microbiology - Surgery
 
dc.subject.meshPeriodontitis - Surgery
 
dc.subject.meshSepsis - Etiology - Microbiology
 
dc.subject.meshStreptococcal Infections
 
dc.subject.meshSuction
 
dc.titleBacteraemia following incision and drainage of dento-alveolar abscesses.
 
dc.typeArticle
 
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<item><contributor.author>Flood, TR</contributor.author>
<contributor.author>Samaranayake, LP</contributor.author>
<contributor.author>Macfarlane, TW</contributor.author>
<contributor.author>Mclennan, A</contributor.author>
<contributor.author>Mackenzie, D</contributor.author>
<contributor.author>Carmichael, F</contributor.author>
<date.accessioned>2012-08-08T08:21:17Z</date.accessioned>
<date.available>2012-08-08T08:21:17Z</date.available>
<date.issued>1990</date.issued>
<identifier.citation>British Dental Journal, 1990, v. 169 n. 2, p. 51-53</identifier.citation>
<identifier.issn>0007-0610</identifier.issn>
<identifier.uri>http://hdl.handle.net/10722/153732</identifier.uri>
<description.abstract>Twenty-five patients undergoing routine incision and drainage of dento-alveolar abscesses were screened for bacteraemia during the procedure. In 13 patients, the abscesses were aspirated with a needle prior to incision and drainage, while needle aspiration was omitted in the remaining 12. A blood sample was taken from all individuals immediately before the surgical procedures and at one-minute intervals for a period of 5 minutes after surgery. Needle aspiration of pus resulted in a significant reduction (P less than 0.05) in the bacteraemic episodes (0 out of 13) during subsequent surgery as compared with incision and drainage, without aspiration (3 out of 12). Bacteraemia appeared to be transient, although in one case it was detected at 5 minutes. It is concluded that bacteraemic episodes occur during incision and drainage of dento-alveolar abscesses and this may be reduced by aspiration of the abscess contents prior to incision and drainage. In addition, the aspirates could serve as excellent microbiological samples, uncontaminated with salivary flora. The need for antibiotic cover in at risk patients, however, needs to be established by further studies.</description.abstract>
<language>eng</language>
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<subject.mesh>Bacteria - Isolation &amp; Purification</subject.mesh>
<subject.mesh>Drainage</subject.mesh>
<subject.mesh>Female</subject.mesh>
<subject.mesh>Humans</subject.mesh>
<subject.mesh>Male</subject.mesh>
<subject.mesh>Periodontal Abscess - Microbiology - Surgery</subject.mesh>
<subject.mesh>Periodontitis - Surgery</subject.mesh>
<subject.mesh>Sepsis - Etiology - Microbiology</subject.mesh>
<subject.mesh>Streptococcal Infections</subject.mesh>
<subject.mesh>Suction</subject.mesh>
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Author Affiliations
  1. Glasgow Dental Hospital and School