Odontojen Kökenli Apselerin Tedavisinde Genel Yaklaşım ve Maliyet Değerlendirmesi

Abstract

Amaç: Bu çalışmanın amacı, çene ve yüz bölgesinde ciddi odontojen kökenli enfeksiyon nedeniyle 6 yıllık sürede başvuran hastaların yaş, cinsiyet, semptomlar, tedavi, hastanede kalış süreleri ve hastane maliyetleri değişkenleri arasındaki ilişkilerin değerlendirilmesidir. Bireyler ve Yöntem: Çalışma, odontojen kökenli apse nedeniyle Ege Üniversitesi, Tıp Fakültesi Kulak Burun Boğaz Anabilim Dalı’na başvurmuş toplam 30 hastanın verileri incelenerek hazırlandı. Yaş, cinsiyet, semptomlar,sistemik hastalıklar, görüntüleme yöntemleri, tedavi şekilleri, hastanede kalış süreleri ve maliyet gibi veriler kaydedilerek istatistiksel olarak değerlendirildi. Bulgular: Hastalar 12 kadın ve 18 erkek bireylerden oluşuyordu. Yaş ortalaması 39 ± 19.78 olarak tespit edildi. Tedavi olarak tüm hastalarda antibiyotik kullanılırken cerrahi olarak genellikle apse drenajı yapıldı. Hastaların yataklı serviste kalış süresi 8.1 gün olarak saptandı. Sistemik hastalık varlığına göre hastanede kalma süresi arasında anlamlı bir fark olduğu görüldü (p=0.017). Sonuç: Ciddi odontojenik enfeksiyonların tedavisi için hastanelerin yataklı birimlerinde tedavi yüksek bir maliyet oluşturmaktadır. Bu nedenlerle, koruyucu hekimlik ve rutin dental bakıma gereken önem verilmelidir

Keywords

• Apse, odontojenik, hastanede kalma süresi, hastane maliyeti

GENERAL APPROACH TO THE TREATMENT OF ODONTOGENIC ABSCESSES AND COST ANALYSIS

Abstract

Purpose: The purpose of this study was to evaluate the relationships between age, gender, symptoms, treatment, length of hospital stay and hospital cost in a group of patients with severe odontogenic infection who has been admitted within the last 6 years.Subjects and Methods: This study was carried out on 30 patients who had been treated in Ege University, Faculty of Medicine, Otolaryngology Department with the diagnosis of odontogenic abscess. Variables such as age, gender, symptoms, systemic disease, imaging techniques, treatment modalities, hospital length of stay and hospital cost were analyzed statistically.Results: There were 12 female and 18 male patients and their mean age was 39 ± 19.78 years. Antibiotics were used in all subjects and their abscesses were mostly drained surgically. The mean hospital length of stay was 8.1 days. There was a statistically significant relationship with the presence of systemic disease and hospital length of stay variables (p=0.017).Conclusion: The cost for treatment of severe odontogenic infections in inpatient units is high in hospitals. Therefore, preventive and routine dental care should be given importance

Keywords

• Abscess,odontogenic infection,hospital length of stay,treatment cost

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