MICROBIOLOGY AND ANTIBIOTIC SENSITIVITY STUDY IN OROFACIAL SPACE INFECTIONS USING EMLA AS AN ANAESTHETIC AGENT

Dr. Satish Patil, Dr. Deepak Manthale*, Dr. Syed Furqhanuddin and Dr. U.M. Joshi

ABSTRACT

Introduction: EMLA (Eutectic Mixture of Local Anaesthetics) cream consists of lidocaine 2.5% and prilocaine 2.5%. Itis an alternate method of providing topical anesthesia to the area being operated in the management of orofacial space infections. Microorganisms involved in these infections are identified and tested for their antibiotic susceptibility. Patients and methods: 50 patients with oraofacial space infections under an age group of 20-50 yearswere included in this study. Patients with systemic diseases and immunocompromised conditions were excluded from our study. Results: 40 patients didn’t experience any pain and 10 patients experienced mild pain during the surgical procedure. The isolated organisms in our study among aerobes were Streptococcus viridans and Staphylococcus aureus predominantly. whereas Peptostreptococcus, Peptococcus species and Fusobacterium were the most commonly isolated anaerobes. All the isolated microorganisms were found sensitive to amoxicillin + CV, cefixime, penicillin, gentamycin and metronidazole. Conclusion: EMLA cream provided an effective anesthesia in our cases and can be used as a topical anaesthetic of choice in the management of orofacial space infections requiring surgical incision and drainage. All the isolated microorganisms were found sensitive to amoxicillin + CV, cefixime, penicillin, gentamycin and metronidazole.

Keywords: EMLA; orofacial infection, microorganism, antibiotics.