J Korean Assoc Oral Maxillofac Surg 2019; 45(6): 324~331
Antibiotic sensitivity and resistance of bacteria from odontogenic maxillofacial abscesses
Sang-Hoon Kang, Moon-Key Kim
Department of Oral and Maxillofacial Surgery, National Health Insurance Service Ilsan Hospital, Goyang, Korea
Sang-Hoon Kang
Department of Oral and Maxillofacial Surgery, National Health Insurance Service Ilsan Hospital, 100 Ilsan-ro, Ilsandong-gu, Goyang 10444, Korea
TEL: +82-31-900-0267 FAX: +82-303-3448-7139
E-mail: omskang@nhimc.or.kr
ORCID: https://orcid.org/0000-0003-3335-3040
Received March 14, 2019; Accepted April 8, 2019.; Published online December 31, 2019.
© The Korean Association of Oral and Maxillofacial Surgeons.. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Objectives: This study investigated the types and antibiotic sensitivity of bacteria in odontogenic abscesses.
Materials and Methods: Pus specimens from 1,772 patients were collected from affected areas during incision and drainage, and bacterial cultures and antibiotic sensitivity tests were performed. The number of antibiotic-resistant bacteria was analyzed relative to the total number of bacteria that were tested for antibiotic susceptibility.
Results: Bacterial cultures from 1,772 patients showed a total of 2,489 bacterial species, 2,101 gram-positive and 388 gram-negative. For penicillin G susceptibility tests, 2 out of 31 Staphylococcus aureus strains tested showed sensitivity and 29 showed resistance. For ampicillin susceptibility tests, all 11 S. aureus strains tested showed resistance. In ampicillin susceptibility tests, 46 out of 50 Klebsiella pneumoniae subsp. pneumoniae strains tested showed resistance.
Conclusion: When treating odontogenic maxillofacial abscesses, it is appropriate to use antibiotics other than penicillin G and ampicillin as the firstline treatment.
Keywords: Fascial space infection, Antibiotic resistance, Antibiotic sensitivity, Odontogenic infection


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31 December 2019
Vol. 45
No. 6 pp. 301~378

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