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Clinical oral microbiology and antimicrobial susceptibility – does it matter?

机译:临床口腔微生物学和抗菌药敏感性–有关系吗?

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Little surveillance data is undertaken on the antimicrobial susceptibility of isolates from acute dento-alveolar infections. We present data collated from routine diagnostic microbiology specimens submitted over a 27 year period in Glasgow, UK. Over the study period isolates were identified using the API system, VITEK 2 and MALDI-TOF. Antimicrobial susceptibility tests were undertaken using combinations of Stokes method and/or E-tests. Baseline data based on Lewis et al., (JAC 23,69-77 1989) and compared to isolates from 1998-2015. From 621 specimens, we isolated Anginosus group streptococci (n = 196), Mitis group Streptococci (n = 448), anaerobic streptococci (n = 116), Fusobacteria (n = 121) and Prevotella (n = 140) species. No discernable increase in resistance patterns over the 27 year time period of analysis was observed. A 6 month audit (May-Oct 2016) in Glasgow recorded 37 patients hospital admissions for 142 bed days (mean 3.5 days) to incise and drain severe odontogenic infections. But, d...
机译:关于来自急性牙槽牙感染的分离株的抗菌药敏性的监测数据很少。我们目前提供的数据来自英国格拉斯哥27年内提交的常规诊断微生物学标本。在研究期间,使用API​​系统VITEK 2和MALDI-TOF鉴定了分离株。抗菌药敏试验采用斯托克斯方法和/或E检验的组合进行。根据Lewis等人(JAC 23,69-77 1989)的基线数据,并与1998-2015年的分离株进行比较。从621个标本中,我们分离出了安吉诺斯组的链球菌(n = 196),米蒂斯组的链球菌(n = 448),厌氧链球菌(n = 116),梭菌(n = 121)和普氏杆菌(n = 140)物种。在27年的分析时间内,没有观察到电阻模式的明显增加。在格拉斯哥进行的为期6个月的审核(2016年5月至2016年10月)记录了37名患者入院142天(平均3.5天)以切开和引流严重的牙源性感染。可是...

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