NEW ALGORITHMS OF DIAGNOSTICS OF HEAVY COMPLICATIONS OF ACUTE ODONTOGENIC INFECTION

Abstract

Introduction. At present, objective difficulties remain in the timely diagnosis and treatment of severe complications of acute odontogenic infection, including progressive odontogenic phlegmon, contact odontogenic mediastinitis, odontogenic sepsis. Goal. Develop an algorithm for diagnosis and treatment of severe inflammatory complications of acute odontogenic infection, taking into account the criteria of “Sepsis-3” and evaluate its effectiveness. Material and methods. To conduct a comparative evaluation of the results of the study, patients (311 people) were divided into 2 groups: a control group (247 people), in which diagnosis and treatment were performed using the criteria “Sepsis-1”, and the main group (64 people), diagnosis and treatment were performed with using the developed algorithm for diagnosis and treatment, which includes a number of additions to the criteria of “Sepsis-3” of the European Society of Critical States Medicine and the Society of Critical States Medicine (SCCM / ESICM). Results. Using the developed algorithm for diagnosis and treatment of patients with odontogenic inflammatory diseases of the maxillofacial area allows to significantly increase the efficiency of early diagnosis of purulent-inflammatory processes in the maxillofacial region (by 5.7%), to reduce the number of severe septic complications (by 6.6%). Discussion. The application of the criteria “Sepsis-3” is not an effective method of early diagnosis of odontogenic sepsis. The conclusion. The conducted study confirmed the effectiveness of the developed algorithm for diagnosis and treatment of severe inflammatory complications of acute odontogenic infection, taking into account the criteria of “Sepsis-3”.