title: Incomplete oral sanation as a risk factor for elevated leucocytosis and postoperative infection.
abstract: BACKGROUND
  Patients after cardiac surgery are particularly at risk of infections. The oral cavity is a potential source of bacteria.
  
  
  OBJECTIVE
  To assess of influence of incomplete oral sanation on the probability of occurrence of infection in the postoperative period.
  
  
  METHODS
  The study subjects (n = 240) were patients undergoing cardiac surgery, with (n = 185) and without (n = 55) complete oral sanation. Complete oral sanation - patients had treated and eradicated all potential inflammatory foci in the oral cavity. Dental treatment: conservative dental treatment (70%), endodontic treatment (30%), and surgical dental treatment (85%), depending on treatment needs.
  
  
  RESULTS
  Patients with incomplete oral cavity sanation had more infections (7.27% vs. 1.62%, p = 0.062) in the postoperative period. The risk of infection was six times higher compared to the patients with complete sanation (p = 0.042), which correlated with higher level of leucocytosis in the early postoperative period (10.11 vs. 10.96 × 103/μL, p = 0.059).
  
  
  CONCLUSIONS
  Incomplete oral sanation is associated with higher levels of leucocytosis and greater risk of infection in the early postoperative period.
authors.affiliation: Department of Cardiovascular Surgery and Transplantology, John Paul II Hospital, Krakow, Poland. jakonstanty@poczta.onet.pl.
authors.forename: Janusz
authors.initials: J
authors.lastname: Konstanty-Kalandyk
authors.forename: Aleksandra
authors.initials: A
authors.lastname: Kalandyk-Konstanty
authors.forename: Bogusław
authors.initials: B
authors.lastname: Kapelak
authors.forename: Joanna
authors.initials: J
authors.lastname: Zarzecka
authors.forename: Rafal
authors.initials: R
authors.lastname: Drwila
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Kieltyka
authors.forename: Jacek
authors.initials: J
authors.lastname: Piątek
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Bartuś
authors.forename: Jerzy
authors.initials: J
authors.lastname: Sadowski
mesh_terms: D000368:Aged; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D007239:Infections / Q000209:etiology*; D007964:Leukocytosis / Q000209:etiology*; D008875:Middle Aged; D009910:Oral Hygiene / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology*
keywords: cardiac surgery; infection; oral sanation