title: Evolution assessment of head and neck infections in diabetic patients--a case control study.
abstract: This research aimed to assess the occurrence and progression of head and neck infections in diabetic compared to non-diabetic patients. A retrospective study was carried out over a period of 10 years in 899 patients with head and neck infections. The patients who met the inclusion criteria were divided into cases and controls according to the presence/absence of diabetes. Seventy-three patients (8%, 95% CI [6.45%-10.12%]) were included in the case group and 826 (92%, 95% CI [89.87%-93.55%]) were assigned to the control group. The extension of the infection proved to be significantly (p < 0.001) higher in diabetic patients compared to non-diabetic patients. The difference between the two groups was statistically significant (Mann-Whitney U statistics = 18205.500, p < 1.56 · 10(-8)). A more than 10 year history of diabetes was statistically related to a wider extent of head and neck infections (p < 0.001). Diabetes proved to be associated with large necrotic areas and the spread of head and neck infections to more than two cavities.
authors.affiliation: Oral and Maxilofacial Surgery Department (Head of the Department: Professor Dr. MD DDS PhD Grigore Băciuţ), "Iuliu Haţieganu" University of Medicine and Pharmacy Cluj-Napoca, Moţilor 33, Cluj Napoca 400001, Cluj, Romania. Electronic address: mihaijuncar@gmail.com.
authors.forename: Mihai
authors.initials: M
authors.lastname: Juncar
authors.affiliation: Oral and Maxilofacial Surgery Department (Head of the Department: Professor Dr. MD DDS PhD Grigore Băciuţ), "Iuliu Haţieganu" University of Medicine and Pharmacy Cluj-Napoca, Moţilor 33, Cluj Napoca 400001, Cluj, Romania.
authors.forename: Amorin R
authors.initials: AR
authors.lastname: Popa
authors.affiliation: Oral and Maxilofacial Surgery Department (Head of the Department: Professor Dr. MD DDS PhD Grigore Băciuţ), "Iuliu Haţieganu" University of Medicine and Pharmacy Cluj-Napoca, Moţilor 33, Cluj Napoca 400001, Cluj, Romania.
authors.forename: Mihaela F
authors.initials: MF
authors.lastname: Baciuţ
authors.affiliation: Oral and Maxilofacial Surgery Department (Head of the Department: Professor Dr. MD DDS PhD Grigore Băciuţ), "Iuliu Haţieganu" University of Medicine and Pharmacy Cluj-Napoca, Moţilor 33, Cluj Napoca 400001, Cluj, Romania.
authors.forename: Raluca Iulia
authors.initials: RI
authors.lastname: Juncar
authors.affiliation: Oral and Maxilofacial Surgery Department (Head of the Department: Professor Dr. MD DDS PhD Grigore Băciuţ), "Iuliu Haţieganu" University of Medicine and Pharmacy Cluj-Napoca, Moţilor 33, Cluj Napoca 400001, Cluj, Romania.
authors.forename: Florin
authors.initials: F
authors.lastname: Onisor-Gligor
authors.affiliation: Oral and Maxilofacial Surgery Department (Head of the Department: Professor Dr. MD DDS PhD Grigore Băciuţ), "Iuliu Haţieganu" University of Medicine and Pharmacy Cluj-Napoca, Moţilor 33, Cluj Napoca 400001, Cluj, Romania.
authors.forename: Simion
authors.initials: S
authors.lastname: Bran
authors.affiliation: Oral and Maxilofacial Surgery Department (Head of the Department: Professor Dr. MD DDS PhD Grigore Băciuţ), "Iuliu Haţieganu" University of Medicine and Pharmacy Cluj-Napoca, Moţilor 33, Cluj Napoca 400001, Cluj, Romania.
authors.forename: Grigore
authors.initials: G
authors.lastname: Băciuţ
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016022:Case-Control Studies; D002648:Child; D003920:Diabetes Mellitus / Q000453:epidemiology*; D018450:Disease Progression; D005260:Female; D006257:Head / Q000382:microbiology*; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008279:Magnetic Resonance Imaging / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009333:Neck / Q000382:microbiology*; D009336:Necrosis; D012189:Retrospective Studies; D012383:Romania / Q000453:epidemiology; D018805:Sepsis / Q000453:epidemiology; D018461:Soft Tissue Infections / Q000453:epidemiology*; D013492:Suppuration; D014057:Tomography, X-Ray Computed / Q000706:statistics & numerical data; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents
keywords: Diabetes; Head and neck; Retrospective study; Septic spread; Soft tissue infections