Actinomycosis Olivia Bennett #2 Rebeca Daman #4

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Actinomycosis Olivia Bennett #2 Rebeca Daman #4 J Nicolini #12 Jenny Wu #20 DH125 November 2015 Actinomycosis

Actinomycosis Actinomyces israeliianaerobic, filamentous , gram-positive bacteria that are found in the oral cavity along the teeth, gum & tonsils Pose no threat unless tissue is damaged Cervicofacial actinomycosis produces firm swellings (abscesses) in the mouth, jaw, facial area, or neck Sinus tracts can develop & may split skin or rupture, releasing pus

Histology Actinomycetes colonies within granules, surrounded by defense cells http://www.scielo.br/img/revistas/bjid/v8n2/a11fig03.jpg http://www.turkjpath.org/images/figure_TPD_1582_2.jpg

Treatment Draining with a needle Removing abscess with surgery if infection spreads to critical areas Antibiotics (penicillin or tetracycline) http://www.microbiologybook.org/mycology/actino-lump2.jpg

Case Study Jerome, 35 year-old non-smoker with abscess on right side of face Has been on antibiotics for 1 week Radiographs show class II calculus & furcations http://mddk.com/wp-content/uploads/2015/02/actinomycosis.jpg

Unmet Human Needs Skin & Mucuous Membrane Integrity Swollen lumps Lesions & abscess present Conceptualization & Understanding Unaware that poor dental hygiene could result in severe bacterial infections Unaware of importance of daily home care Poor brushing and flossing technique http://www.the-dermatologist.com/sites/default/files/issues/Screen%20Shot%202013-09-17%20at%202.50.40%20PM.png

Dental Hygiene Intervention Skin & Mucous Membrane Integrity Treat unaffected area of mouth and encourage client to follow up with physician and continue antibiotics as prescribed Conceptualization & Understanding Provide oral homecare education & instruction Emphasize importance of continuing Dental Hygiene treatment

References Bush, L. (n.d.). Actinomycosis - Infections. Retrieved October 14, 2015, from http://www.merckmanuals.com/home/infections/bacterial-infections/actinomycosis The Maxillofacial Center for Diagnostics & Research. Actinomycosis. (n.d.). Retrieved October 14, 2015, from http://www.maxillofacialcenter.com/BondBook/mucosa/actinomycosis.html Okulicz, J. (2015, July 28). Actinomycosis. Retrieved October 14, 2015, from http://emedicine.medscape.com/article/211587-overview#showall