Journal of Maxillofacial and Oral Surgery

, Volume 13, Issue 1, pp 1–9

Efficacy of Serum Prealbumin and CRP Levels as Monitoring Tools for Patients with Fascial Space Infections of Odontogenic Origin: A Clinicobiochemical Study


    • Department of OMFSKothiwal Dental College and Research Centre
  • Girish Giraddi
    • Department of OMFSGovernment Dental College
  • Gokkula Krishnan
    • Department of OMFSKothiwal Dental College and Research Centre
  • Ashish Kumar Shahi
    • Department of OMFSKothiwal Dental College and Research Centre
Research Paper

DOI: 10.1007/s12663-012-0376-4

Cite this article as:
Sharma, A., Giraddi, G., Krishnan, G. et al. J. Maxillofac. Oral Surg. (2014) 13: 1. doi:10.1007/s12663-012-0376-4



Study includes 20 patients with diagnosis of fascial space infections of odontogenic origin to assess efficacy of serum prealbumin and CRP levels as monitoring tools for determining severity of infections, nutritional status, hospital stay and efficacy of treatment.


Blood samples taken on day 0, 4, and 8 for measuring serum levels of markers. Simultaneously clinical parameters like swelling size, pain etc., were also recorded on day 0, 4, and 8 and appropriate treatment given to each patient. Correlation between markers and parameters was found using regression and paired t test.


Statistical analysis found strong correlation between laboratory values of markers and parameters used to measure severity of infection also. Prealbumin and crp are significant markers for hospital stay (p < 0.01). Prealbumin also found to be a sensitive indicator of nutritional status (p < 0.001).

Interpretation and Conclusion

Prospective analysis indicates prealbumin and crp are effective markers for determining severity of infection, treatment efficacy and hospital stay. Prealbumin is also sensitive marker for nutritional status. Duration of antibiotic usage, intensive unit care, use of nutritional supplements becomes more rationale. Markers also make treatment cost effective and help protecting patients from side effects of excess drug usage.


PrealbuminC-reactive proteinOdontogenic space infection

Copyright information

© Association of Oral and Maxillofacial Surgeons of India 2012