Bulletin of Stomatology and Maxillofacial Surgery
ISSN 1829-006X
2025; 360–369
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ANTBIOTIC RESISTANCE OF DENTAL ABSCESS INFECTION IN PAEDODONTIC PATIENTS: A PROSPECTIVE STUDY IN A TERTIARY CARE DENTAL HOSPITAL

Sharath Chandrashekhar*, Shyamjith Manikkoth, Sukesh Bha, Anjali, R Kavitha, Indhuja

Reader, Department of Pediatric and Preventive dentistry, Mahe Institute of Dental Sciences & Hospital Kerala. · Professor, Department of Pharmacology, Kanachur Institute of Medical Sciences, Natekal, Mangalore · Assistant Professor, Department of Pharmacology, Kanachur Institute of Medical Sciences, Natekal, Mangalore. · Assistant Professor, Department of Microbiology, Mahe Institute of Dental Sciences & Hospital, Kerala. · CRRI, Mahe Institute of Dental Sciences & Hospital, Kerala. · Junior Resident, Public Health Dentistry, Mahe Institute of Dental Sciences & Hospital Kerala.

Received: 2026-04-08 · Published: 2025-06-01

© 2025 The Author(s) and the original publisher.

CC BY-NC 4.0 This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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Originally published in Bulletin of Stomatology and Maxillofacial Surgery, 2025 — https://doi.org/10.58240/1829006x-2025.21.4-360.

Original title
ANTBIOTIC RESISTANCE OF DENTAL ABSCESS INFECTION IN PAEDODONTIC PATIENTS: A PROSPECTIVE STUDY IN A TERTIARY CARE DENTAL HOSPITAL
Authors
Sharath Chandrashekhar, Shyamjith Manikkoth, Sukesh Bha, Anjali, R Kavitha, Indhuja
Source journal
Bulletin of Stomatology and Maxillofacial Surgery
Published
2025-06-01
Licence
Creative Commons Attribution-NonCommercial 4.0 International
Original
https://doi.org/10.58240/1829006x-2025.21.4-360

Abstract

Background: Dental abscesses are a common infection in paedodontic patients and are often managed with antibiotics in conjunction with dental interventions. However, the increasing prevalence of antibiotic resistance presents a significant challenge in effective treatment, leading to prolonged infections, complications, and increased healthcare burden. Objective: This study aimed to evaluate the patterns of antibiotic resistance in bacterial isolates from dental abscesses in paedodontic patients attending Mahe Institute of Dental Sciences & Hospital. Methods: A prospective cross-sectional study was conducted over a period of 3 months. Paedodontic patients presenting with clinical signs of dental abscesses were included. Pus samples were aseptically collected and cultured for bacterial isolation. Identified isolates underwent antibiotic susceptibility testing using the Kirby-Bauer disk diffusion method following CLSI guidelines. Results: In the 25 samples collected, revealed the presence of multiple microorganisms, with a total of 25 isolates identified. Streptococcus oralis/mitis was the most prevalent organism, accounting for 6 isolates (24% of the total). Other significant organisms included Staphylococcus hominis, Klebsiella pnaeumoniae, Citrobacter koseri, Peribacillus simplex, and Enterobacter cloacae, each contributing 3 isolates (12% each). Additionally, Enterobacter aerogens and Bacillus altitudinis were identified, each comprising 2 isolates (8% each). Conclusion: The study highlights a concerning level of antibiotic resistance among pathogens causing dental abscesses in children. These findings underscore the necessity for culture-guided antibiotic therapy and the development of local antibiotic stewardship protocols to prevent the escalation of resistance and ensure optimal patient outcomes.
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