Contemporary antiboprophylaxis of dental infectious endocarditis

Dimova, Cena and Kovacevska, Ivona and Papakoca, Kiro (2013) Contemporary antiboprophylaxis of dental infectious endocarditis. In: 18th Congress of the Balkan Stomatological Society (BaSS), 25-28 April 2013, Skopje.

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Background: Bacterial endocarditis is in many cases result of bacteraemia produced by operative procedures, among which is tooth extraction. There is a strong indication for using efficient antibiotic cover for dental extractions and other operative procedures known to be followed by a bacteremia. The aim of this study was to amount all literature acknowledgements for the prevention of endocarditis following dental procedures, as well as emphasizing the application of contemporary aspects and concepts for conservative and oral-surgical approach in these patients.
Material and method: Examination sample was consisted of 40 patients (20 adults and 20 children,) with diagnosed cardiac defects, prosthetic cardiac valves and previous bacterial endocarditis in which 46 stomatological interventions were done. Preparation includes:
- laboratorial investigations, to establish stabile general health condition (sedimentation, leukocyte formula, fibrinogen, CRP, prothrombin time, glykemia, urea and bilirubin)
- Antibiotic therapy before conservative and oral-surgical interventions (Caps. Ampicillini 2g or Clindamycini 600mg one hour before extraction).
Patients were followed during 24, 48 hours, than after seven days and 30 days, with attention to observe possible general and local complications.
Results: Safety dental procedures were performed after:
o Establish stabile general health condition (assign parameters from laboratorial findings were in the borders of referents values).
o selective indication for stomatological interventions
o precise antibiotic prophylaxis
o Concordance from cardiologists.
Conclusion: Selective approach and preparation, evaluation for basis disease and multidisciplinary collaboration with cardiologists, present fundamentals for safety and successful realization of indicated stomatological interventions without complications in basis disease.

Item Type: Conference or Workshop Item (Poster)
Subjects: Medical and Health Sciences > Basic medicine
Medical and Health Sciences > Clinical medicine
Medical and Health Sciences > Health sciences
Medical and Health Sciences > Other medical sciences
Divisions: Faculty of Medical Science
Depositing User: Cena Dimova
Date Deposited: 09 Aug 2013 08:26
Last Modified: 19 Feb 2014 08:56

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