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Bacteremia Associated With Oral Surgery: A Review.
González Navarro, Beatriz; Jané Salas, Enric; Estrugo Devesa, Albert; López López, José; Viñas, Miguel.
Afiliação
  • González Navarro B; Oral Health and Masticatory System Group, Section of Oral Pathology, School of Dentistry, University of Barcelona, Barcelona, Spain.
  • Jané Salas E; Oral Health and Masticatory System Group, Section of Oral Pathology, School of Dentistry, University of Barcelona, Barcelona, Spain.
  • Estrugo Devesa A; Oral Health and Masticatory System Group, Section of Oral Pathology, School of Dentistry, University of Barcelona, Barcelona, Spain.
  • López López J; Oral Health and Masticatory System Group, Section of Oral Pathology, School of Dentistry, University of Barcelona, Barcelona, Spain. Electronic address: 18575jll@gmail.com.
  • Viñas M; Department of Pathology and Experimental Therapeutics, University of Barcelona and IDIBELL, Barcelona, Spain; CESPU, IINFACTS, Gandra, Portugal.
J Evid Based Dent Pract ; 17(3): 190-204, 2017 Sep.
Article em En | MEDLINE | ID: mdl-28865816
ABSTRACT

OBJECTIVES:

Bacterial (infective) endocarditis, a microbial infection of the endocardium surfaces after bacteremia, causes significant morbidity and mortality. Recent epidemiologic studies have reported a prevalence of 2-8 cases per 100,000 individuals per year, with the highest incidence in those aged 70-80 years and those living in developed countries. We systematically reviewed the literature on several critical aspects regarding the development of bacteremia after oral surgery. The purpose of this work is to assess the controversy regarding antibiotic prophylaxis before oral surgery. MATERIALS AND

METHODS:

Publications between 1976 and 2015 were included. Clinical studies focusing on oral surgery as the underlying cause were included.

RESULTS:

Among the 32 clinical studies reviewed, 3564 cases, accounting for 12,839 blood cultures, were evaluated. In 10 of these studies, amoxicillin usefulness was studied. Antimicrobial prophylaxis before an invasive dental procedure does not prevent bacteremia, although it can decrease both its magnitude and its persistence.

CONCLUSIONS:

The highly conflicting data and conclusions of the analyzed work highlight the need for new approaches to the study of bacteremia that would provide reliable evidence and thus appropriate prophylactic and therapeutic standards. Many reports have explored the occurrence of bacteremia after dental procedures, but the results have been conflicting.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Bacteriemia / Endocardite Bacteriana Tipo de estudo: Guideline / Risk_factors_studies / Systematic_reviews Limite: Aged / Aged80 / Humans Idioma: En Ano de publicação: 2017 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Bacteriemia / Endocardite Bacteriana Tipo de estudo: Guideline / Risk_factors_studies / Systematic_reviews Limite: Aged / Aged80 / Humans Idioma: En Ano de publicação: 2017 Tipo de documento: Article