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
2011 Impact Factor: 0.915
2011 SCImago Journal Rankings: 0.049
ISI Accession Number IDWOS:A1990DQ80000015
DC Field
Value
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
2011 Impact Factor: 0.915
2011 SCImago Journal Rankings: 0.049
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
Author Affiliations
  1. Glasgow Dental Hospital and School