Severe Odontogenic Infections & Sepsis

Question 1

What is Ludwig’s Angina?

Answer 1

Bilateral infection of the submandibular space

Question 2

What are the most common bacteria found in Ludwig’s angina?

Answer 2

Anaerobic gram negative bacilli- P. intermedia
Streptococcus anginosus

Question 3

What bacteria are found in severe odontogenic infections?

Answer 3

S. Millerii (mixed anaerobe)
Staph aureus (gram positive cocci)

Question 4

What is SIRS?

Answer 4

Systemic Inflammatory Response Syndrome
Temperature <36 or >38
Pulse over 90/min
Respiratory rate over 20 breaths/min
White blood cell count lower than 4 or more than 12

Question 5

What is sepsis?

Answer 5

Life-threatening organ dysfunction caused by dysregulated host response to infection

Question 6

What are the sepsis 6 for treatment?

Answer 6

Give high-flow oxygen
Take blood cultures
Give IV antibiotics
Give a fluid challenge
Measure lactate
Measure urine output