Therapy of percutaneous infection around craniofacial implants.

Martin Klein, Ilana Weisz, Christian Camerer, Horst Menneking, Doris Maria Kim

Journal: The International journal of prosthodontics 2010;22(6):594-6

PMID: 19918595

Abstract

This study sought to develop treatment strategies for managing percutaneous infection around craniofacial implants. The present general pathogen situation together with a bacterial resistance were determined in 57 infected peri-implant sites. Forty-four implants were randomly assigned for wound cleaning and split into three groups-two with local antibiotics of proven efficacy and one with 3% hydrogen peroxide (H2O2). The pathogen spectrum differed depending on the severity of the infection, with Staphylococcus aureus clearly correlated with the degree of inflammation (positive correlation: R = 0.72). It was observed that the use of additional local antibiotics was not superior to conventional wound cleaning with 3% H2O2. It is suggested that sulcus fluid flow rate measurements could serve as a simple and reliable objective parameter for recall examinations.

Address: Department of Oral and Maxillofacial Surgery, Pastic Surgery, Fachklinik Hornheide, Münster, Germany. [email protected]

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https://medlineplus.gov/staphylococcalinfections.h...

MeSH Terms: Anti-Bacterial Agents, Anti-Infective Agents, Local, Bacitracin, Drug Combinations, Ear, Exudates and Transudates, Eye, Artificial, Face, Humans, Hydrogen Peroxide, Neomycin, Nose, Orbital Implants, Prosthesis Implantation, Prosthesis-Related Infections, Staphylococcal Infections, Tetracycline