DENTAL POINT ENTRY SEPSIS – CLINICAL AND BACTERIOLOGICAL CONFIGURATION

Abstract

Aim of the study We want to define the dental surgery’s implication in sepsis with endocarditis determination. Material and methods We performed a study on a group of 70 patients admitted to the Infectious Diseases Hospital Iasi, between January 1, 2007 – June 30, 2013 with sepsis with endocarditis determination, and oral gate of entry. Results The patient’s profile is an urban area male, over 60 years old, with cardiovascular history. The fever was present in 93% of cases, and recent dental surgery was noted in 20% of cases. ). The inflammatory syndrome was present. Positive blood cultures were recorded in 28 cases (40%). The treatment combined aminopenicillin and aminoglycoside in 24.3% of cases. Conclusions Our study revealed that the sepsis with oral gate of entry with endocarditis determination was present in almost a quarter of cases, and the Staphylococcus aureus remains the most common causative agent, followed by streptococci and enterococci.

Keywords

• oral sepsis
• endocarditis
• Duke criteria
• Carmeli score
• etiologic agent