Keywords
odontogenic and nonodontogenic inflammation
maxillofacial area
How to Cite
Abstract
The purpose of the study is to identify and analyze the differences in the microbial flora spectrum of odontogenic and nonodontogenic inflammatory diseases of the maxillofacial region.
Materials and methods. The results of bacteriological study of 427 patients with inflammatory diseases of odontogenic and nonodontogenic inflammatory diseases of the maxillofacial region. There are inflammatory diseases of odontogenic etiology: acute purulent odontogenic periostitis, acute odontogenic osteomyelitis of the jaw, complicated by phlegmon. There are inflammatory diseases of nonodontogenic etiology: furuncleand traumatic osteomyelitis of the jaw. There are inflammatory diseases of mixed etiology: lymphadenitis and abscesses of the maxillofacial area. 465 microbiological tests were performed and analyzed, 360 strains of microorganisms were isolated. Blood agar was used for various types of streptococci detection. Staphylococci were isolated on the yolk-salt agar, Saburo medium was used to detect fungi, Endo medium or Levin medium was used to detect coliform bacteria, seeding of Proteus group microbes was performed by the Shushkevich method. The identification of aerobic and facultative anaerobic microorganisms was performed using test ATB Expression «bioMerieux». We used different strips to identifymicroorganisms: APISTAPH for staphylococci, API 20 E for enterobacteria, API 20 GN for Gramnegative rods. Data analysis was performed with the use of the package Exsell applications.
Results. The main causative agents of the inflammatory diseases are streptococci, staphylococci, enterobacteria, rarely – non-fermentative Gram-negative rods and bacilli. At the same time the leading agents in the development and progression of odontogenic processes are streptococci and coagulase negative staphylococci. The leading agents in the development and progression of nonodontogenic processes are staphylococci (Staphylococcus aureus and coagulase-negative staphylococci).
Prospective studies. Further study of the pathogens structure of the odontogenic and nonodontogenic inflammatory diseases of maxillofacial area, as well as major pathogens antibiotic resistance will develop most effective scheme of the starting antibiotic therapy.
Keywords: microbial flora, odontogenic and nonodontogenic, inflammation, maxillofacial area.
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