Odontojen Kökenli Apselerin Tedavisinde Genel Yaklaşım ve Maliyet Değerlendirmesi

Year 2015, Volume: 49 Issue: 2, 17 - 22, 18.05.2015

Aylin Sipahi Çalış , Aylin Çalış , Banu Koyuncu Banu Özveri Koyuncu Kerem Öztürk , Ali Mert , Cem Bilgen Cem Bilgen

https://doi.org/10.17096/jiufd.90557

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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