Poster Session 1.O - Dental Research
Dr. Kiss, Dorottya
J4IUAB
Department of Oro-Maxillofacial Surgery and Stomatology
06302085500
kiss.dorottya@hotmail.com
Risk Factors for the Emergence of Multidrug-resistant Bacteria in Patients with Head and Neck Infections
Dorottya Kiss1
1: Department of Oro-Maxillofacial Surgery and Stomatology
Poszter
Poster Session 1.O - Dental Research
English
Dental Research
Introduction: The emergence and spread of multidrug-resistant (MDR) pathogens have been linked to excessive antibiotic use, as well as patient-related factors such as hospitalization.
Aims: This study investigated the clinical determinants of antimicrobial resistance (AMR) and the occurrence of MDR bacteria.
Methods: We evaluated 4492 bacterial isolates from 1719 patients and analyzed the association between resistance levels and various patient-related factors, including age, primary diagnosis, comorbidities, oral hygiene, smoking, alcohol use, and prior antibiotic therapy. AMR rate was graded from 0 to 3, and a mixed-effect continuation ratio was used for the analysis.
Results: Patients with oral cancer (OR 1.38, 95% CI 1.06–1.80), a history of smoking (OR 1.19, 95% CI 1.01–1.41), immunosuppressive therapy (OR 1.36, 95% CI 1.06–1.75), insulin-treated diabetes (OR 1.57, 95% CI 1.05–2.35), or cardiovascular disease (OR 1.28, 95% CI 1.02–1.61) had significantly higher risk of infection with MDR bacteria. Prior antibiotic use (OR 1.44, 95% CI 1.24–1.68), older age (OR 1.01, 95% CI 1.00–1.01), and female sex (OR 1.28, 95% CI 1.09–1.49) were also significantly associated with progression to multidrug resistance.
Conclusions: These findings suggest that, beyond selective pressure from antibiotics, individual patient characteristics may also contribute to the development of MDR bacteria in head and neck infections and. Clinicians should consider these factors during hospitalization, particularly regarding infection prevention and the responsible selection of antibiotics.
Funding: This work was supported by the 2024-2.1.2-eköp-kdp-2024-00002 university research scholarship program of the ministry for culture and innovation from the source of the national research, development and innovation fund.
Semmelweis University
Prof. Dr. Katalin Kristóf, Prof. Dr. Árpád Joób-Fancsaly
I do not give consent to the publication of my abstract on the website of the congress.
in doctoral studies after complex exam (PhD)
Szabad
elfogadva
poszter
nem rendelkezett róla
9043
17:00
17:03