INITIAL CLINICAL SYMPTOMS IN CORRELATION WITH DURATION OF HOSPITALIZATION IN PATIENTS WITH ODONTOGENIC INFECTIONS

Authors

  • Nol Cena Third-Cycle Education Courses, Department of Maxillofacial Surgery, Faculty of Dental Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia University Clinic for Maxillofacial Surgery in Skopje, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Danica Popovich Monevska University Clinic for Maxillofacial Surgery in Skopje, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Suzana Bozhovich Dvojakovska University Clinic for Maxillofacial Surgery in Skopje, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Aleksandar Stamatoski University Clinic for Maxillofacial Surgery in Skopje, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Angela Monevska University Clinic for Anesthesiology and Intensive Care, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Filip Koneski University Clinic for Maxillofacial Surgery in Skopje, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia

Keywords:

inflammatory markers, odontogenic infections, disease severity score, duration of hospitalization

Abstract

Introduction: Odontogenic cervicofacial phlegmons are severe infections of the superficial and deep anatomical spaces of the head and neck. Early diagnosis and appropriate treatment are crucial for faster recovery, shortening the hospitalization period, and reducing the risk of severe systemic complications. Therefore, this study was performed to analyze the role of CRP, white blood cell count (WBC), and clinical symptoms in predicting the prolonged duration of hospitalization in adult patients with maxillofacial infections.

Material and methods: This retrospective study was based on diagnosed cases of odontogenic cervicofacial phlegmons, admitted to the University Clinic for Maxillofacial Surgery in Skopje, RN. Macedonia between January 2019 and December 2024. The Symptom Severity score (SS) was assessed in this study for all patients.  Routine blood sample analysis on admission to hospital was performed: complete blood count, C-reactive protein, WBC, erythrocyte sedimentation rate (ESR), blood glucose level.

Results: In our investigation, CRP level on admission, WBC level on admission, and SS, were shown to have a positive correlation with the length of hospitalization.

Conclusion: The results indicated that serum WBC count and CRP levels in combination with SS score on admission should be used as biological and clinical parameters for the prediction of the duration of hospitalization in adult patients with maxillofacial infections.

References

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Published

2025-04-11

Issue

Vol. 5 No. 1 (2025): Acad Med J

Section

Original Articles