Resumo

FUENTELSAZ LOPEZ, Paola. Etiology and treatment of dental infections in indigent children. Rev. bol. ped. [online]. 2005, vol.44, n.3, pp.153-157. ISSN 1024-0675.

Objective: to identify infectious agents and determine the efficacy of Amoxiciline-Sulbactam in dental infections in children and teenagers who live and work in the streets. Materials and methods: from February to July 2004 we followed 47 patients, 25 of which were males. All patients were children and teenagers who live and work in the streets. All of them showed signs and symptoms of dental infections. Cultures of all of them were taken and processed at the microbiology laboratory of Arco Iris Hospital. All of them received treatment with a combination of Amoxiciline and Sulbactam, dosages was established according to the age of each patient. Results: all cultures were positive in 25 males and 22 females, 27 positive cultures belonged to children under 12 years of age and 20 positive cultures belonged to patients over this age. The bacteria identified according to order of frequency were: Streptococcus mutans 24,5%, Porphyromonas gingivalis in 23,6%, Porphyromonas endodontalis in 18,2%, Streptococcus salivarius 10,1%, Streptococcus sanguis 8,2%, Peptostreptococcus sp. 7,3%, Prevotella oralis 3,6% Streptococcus pyogenes 2,7% and Actinomycetos 1,8%. 38 patients finished treatment and 9 female patients abandoned the study. All post-treatment cultures were negative. Conclusions: bacterial agents more frequently found in these dental infections were: Streptococcus mutans, Porphyromonas gingivalis and Porphyromonas endodontalis. The Amoxiciline-Sulbactam combination treatment was effective in all cases.

Palavras-chave : dental infections; amoxiciline-Sulbactam.

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