J Oral Med Pain.  2021 Sep;46(3):75-83. 10.14476/jomp.2021.46.3.75.

A Literature Review of Infection with ESKAPE Pathogens in Oral and Maxillofacial Region

• Park SY
• You JS
• Moon SY
• Oh JS
• Choi HI
• Jung GW

• KMID: 2552211
• DOI: http://doi.org/10.14476/jomp.2021.46.3.75

Abstract

Odontogenic infection in the oral and maxillofacial regions caused by bacteria (mostly of oral origin) is one of the most common diseases encountered by dentists. Localized infection can easily be treated with incision and drainage followed by antibiotics. Emergence of multidrug resistant (MDR) bacteria called “Superbacteria” has become one of the serious problems in modern society, due to its small window of opportunity for treatment and high casualty. The acronym “ESKAPE”, encompassing the common and serious MDR pathogens stand for Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa and Enterobacter spp. Literature search was performed in Medline, PubMed and Google Scholar ranging from 2012 to 2020. ESKAPE patient’s infection period was longer than that of non-ESKAPE group, and the treatment method due to antibiotic resistance was also complicated. The purpose of this study is to investigate infection caused by ESKAPE pathogens in the oral and maxillofacial regions through literature review and to inform dental surgeons of the danger of ESKAPE pathogens and to suggest viable treatment options. Many studies worldwide reported infections associated with ESKAPE pathogens, but only limited number of studies targeted infection in oral and maxillofacial regions. Further research is required with more data on ESKAPE bacteria and their infection, especially in oral and maxillofacial regions.

Keyword

Abscess; ESKAPE; Infections; Methicillin-resistant Staphylococcus aureus; Osteomyelitis