Moxifloxacin versus Clindamycin/Ceftriaxone in the management of odontogenic maxillofacial infectious processes: a preliminary, intrahospital, controlled clinical trial
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Gómez Arámbula, Hansel; Hidalgo Hurtado, Antonio; Rodríguez Flores, Rosaura; González Amaro, Ana María; Garrocho Rangel, Arturo; Pozos Guillén, Amaury de Jesús
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Aquest document és un/a article, creat/da en: 2015
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Background: The aim of this study was to compare the days of hospitalization length between patients treated with
Moxifloxacin with that of patients treated with a Clindamycin/Ceftriaxone combination and additionally, to isolate
and identify the oral pathogens involved in orofacial odontogenic infections.
Material and Methods: A pilot-controlled-clinical-trial was carried out on hospitalized patients with cervicofacial
odontogenic abscesses or cellulitis, who were randomly asigned to two study groups: 1) patients who received
Moxifloxacin, and 2) patients receiving Clindamycin/Ceftriaxone combination. Infiltrate samples were collected
through transdermic or transmucosal punction and later cultured on a media specific for aerobic and anaerobic
microorganisms. Mean hospitalization duration in days until hospital discharge and susceptibility assessment in
rates were established.
Results: Mean hospitalization time in days of patients treated with Moxifloxacin was 7.0 ± 1.6 days, while in the
Clindamycin/Ceftriaxone group, this was 8.4 ± 1.8 days, although significant difference could not be demonstrated
(
p
=0.074). A total of 43 strains were isolated, all of these Gram-positive. These strains appeared to be highly sen
-
sitive to Moxifloxacin (97.5%) and Ceftriaxone (92.5%).
Conclusions: Moxifloxacin and Ceftriaxone appear to be potential convenient and rational alternatives to traditional
antibiotics, for treating severe odontogenic infections, in conjunction with surgical extraoral incision, debridement,
and drainage.
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