Seetaram Mahima, N Vivek, Subramanian Abinaya, Gopinathan Anusha, Kv Leela, Chandran Saravanan, K T Magesh, Ramakrishnan Karthik
Department of Oral and Maxillofacial Surgery, Sri Ramaswamy Memorial (SRM) Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology (SRMIST), Chennai, IND.
Department of Microbiology, Sri Ramaswamy Memorial (SRM) Medical College Hospital and Research Centre, SRM Institute of Science and Technology (SRMIST), Chennai, IND.
Cureus. 2024 Aug 5;16(8):e66158. doi: 10.7759/cureus.66158. eCollection 2024 Aug.
There are comparatively fewer surgical site infections after craniofacial trauma than after trauma to the extremities, and the etiology is complex. Gram-negative facultative anaerobic bacteria is a common commensal in the oral cavity and has been linked to osteomyelitis and surgical site infections in prosthetic joint infections. They serve as early biological indicators.
AIMS/OBJECTIVES: This study aims to assess the presence of in patients presenting with maxillofacial trauma, to document the difference in colony count in patients requiring surgical intervention at different time intervals as against patients with surgical site infections, and to provide better hospital care and management so as to improve the standard of care with an attempt to prevent the possibility of postoperative surgical site infections.
In this study, individuals with trauma/fractures of the maxillofacial region requiring surgical intervention at varied time spans, early, intermediate, and late, were included. After obtaining informed consent, the examination was done; the fracture type and site were noted, and a swab was taken on the day of admission, on the day of surgery, and on the day of discharge and given for microbiological evaluation. Findings were recorded.
The primary and secondary objectives of the study were established. The mean colony count in colony-forming units/milliliter for patients undergoing early surgical intervention, on the day of admission, was 2.01E+0.6. On the day of discharge, the mean colony count was 1.51E+0.6. In contrast, for patients with surgical site infection, on the day of admission, the mean was 6.5E+0.7, and on the day of discharge, the mean colony count reduced to 4.01E+0.6. The time-colony-forming unit graph showed a difference in the colony count of in patients operated at different time intervals as against patients with surgical site infection and modified relation with a number of other oral commensals. The colony count in patients with osteomyelitis was found and compared.
There is a change in the colony count of species and its relation to their commensals when intervened at different time intervals. Our study indicates that the estimation of species and the colony count could aid in determining the possibility of a surgical site infection. This study also stresses on the appropriate reporting of maxillofacial trauma in cases of a poly-trauma for appropriate management.
与四肢创伤相比，颅面创伤后手术部位感染相对较少，且病因复杂。革兰氏阴性兼性厌氧菌是口腔中常见的共生菌，与骨髓炎和人工关节感染中的手术部位感染有关。它们可作为早期生物学指标。
本研究旨在评估颌面创伤患者中[具体细菌名称未给出]的存在情况，记录不同时间间隔接受手术干预的患者与手术部位感染患者的菌落计数差异，并提供更好的医院护理和管理，以提高护理标准，试图预防术后手术部位感染的可能性。
本研究纳入了在不同时间跨度（早期、中期和晚期）需要手术干预的颌面区域创伤/骨折患者。在获得知情同意后进行检查；记录骨折类型和部位，并在入院当天、手术当天和出院当天采集拭子进行微生物学评估。记录结果。
确立了研究的主要和次要目标。早期手术干预患者在入院当天每毫升形成菌落单位的平均菌落计数为2.01E + 0.6。出院当天，平均菌落计数为1.51E + 0.6。相比之下，手术部位感染患者在入院当天的平均值为6.5E + 0.7，出院当天平均菌落计数降至4.01E + 0.6。时间 - 形成菌落单位图显示，不同时间间隔手术的患者与手术部位感染患者的菌落计数存在差异，且与其他一些口腔共生菌存在不同关系。发现并比较了骨髓炎患者的菌落计数。
在不同时间间隔进行干预时，[具体细菌名称未给出]菌种的菌落计数及其与共生菌的关系会发生变化。我们的研究表明，对[具体细菌名称未给出]菌种及其菌落计数的评估有助于确定手术部位感染的可能性。本研究还强调在多发伤病例中对颌面创伤进行适当报告以进行适当管理。
