Antibiotic Prophylaxis During Dental Procedures in Patients with Prosthetic Joints.

Détails

Ressource 1Télécharger: v01p0042.pdf (304.59 [Ko])
Etat: Public
Version: Final published version
ID Serval
serval:BIB_DA7C1A81D5FD
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Antibiotic Prophylaxis During Dental Procedures in Patients with Prosthetic Joints.
Périodique
Journal of bone and joint infection
Auteur(s)
Sendi P., Uçkay I., Suvà D., Vogt M., Borens O., Clauss M.
ISSN-L
2206-3552
Statut éditorial
Publié
Date de publication
2016
Peer-reviewed
Oui
Volume
1
Pages
42-49
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: epublish
Résumé
In patients with artificial joints, the need for antimicrobial prophylaxis during dental procedures is often raised. The present document describes the pathogenic mechanisms and epidemiological data on the subject of periprosthetic joint infections (PJI) after dental procedures. The document reflects the opinion and recommendations of the expert group 'Infection' of Swiss Orthopaedics. Microorganisms belonging to oral flora can seed haematogenously to an artificial joint. The proof of a causative relation with dental procedures is not possible, because the responsible bacteraemia can originate from the oral cavity at any time, irrespective of when the dental procedure occurs. Good oral hygiene is associated with a lower risk for PJI. Transient bacteraemia occurs during daily oral hygiene activity (e.g., tooth brushing) and thus the cumulative risk for a haematogenous PJI from tooth brushing is higher than that from a dental procedure. PJI after a dental procedure are rarely reported. On the basis of an epidemiological model, several thousand patients with artificial joints must receive antimicrobial prophylaxis to prevent a single PJI. Considering this ratio, the number of adverse events due to the antimicrobial compound exceeds the benefit of administering it by a large magnitude. Therefore, as a rule for the vast majority of cases, antimicrobial prophylaxis during dental procedures is not recommended. It is important that a patient has a good oral health status before joint implantation and that good oral hygiene is continuously maintained in patients with artificial joints.

Pubmed
Open Access
Oui
Création de la notice
30/05/2017 16:27
Dernière modification de la notice
20/08/2019 15:59
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