ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ CÁC YẾU TỐ LIÊN QUAN TRÊN BỆNH NHÂN VIÊM MÔ BÀO HÀM MẶT ĐIỀU TRỊ NỘI TRÚ TẠI BỆNH VIỆN NGUYỄN TRÃI THÀNH PHỐ HỒ CHÍ MINH

Abstract

Objectives: To describe the clinical and subclinical characteristics and related factors of patients  with maxillofacial cellulitis received inpatient treatment at Nguyen Trai hospital, Ho Chi Minh city. Methods: A cross-sectional study were performed in 46 patients, aged from 18 years old, at Nguyen Trai hospital, Ho Chi Minh city from June 2024 to September 2024. Bassed on the classification of the level of infection such as age, gender, clinical signs, cause, clinical progression, treatment methods and healing progression during follow-up. Severity criteria used in this study were anatomical structure, dysphagia, dysarthria, dyspnea, fever, sepsis, and tissue necrosis. Analyze data using Chi-square test, Fisher’s exact test and T-test, with p<0.05, CI95%. Results: Participants had age average 57.5±16.4, 47.8% female. Regarding severity, mild  severity accounted for 52.2%; 30.4% moderate; 10.8% severe and 6.6% very severe. Symptoms of swelling and pain account for a high rate of 95.7% and 93.5%, respectively. The causes are pulp necrosis and periodontitis accounting for 30.4%. Patients in the severe and very severe groups with dysphagia and abuse of alcohol and tobacco, days of taking antibiotics and length of hospital stay had statistically significant differences compared to the mild-moderate group, (p<0.05). Conclusion: Maxillofacial cellulitis is a condition that can be life-threatening. This condition can be successfully treated as the disease is promptly diagnosed, the cause is eliminated and effectively drained, as well as the causative bacteria are identified in order to use the most appropriate antibiotic therapy.