Čes. stomatol. Prakt. zub. lék. (Czech Dental Journal) 2001; 101(3): 96-101
Contribution to the Prophylaxis of Infectious Endocarditis during Dental Treatment
- Stomatologická klinika LF UK v Plzni, přednosta prof. MUDr. J. Kilian, DrSc. Společenství odborných praxí Neu Ulm, SRN
In patients with a high or medium risk of infectious endocarditis it is important to respect the colonization of the oral cavity by a varied bacterial flora and the ensuing risk of bacteraemia. During every dental treatment of such patients mechanical cleaning and localdisinfection of the mouth is essential (e.g. with a 0.12% chlorohexidine solution). Before an invasive dental procedure antibiotic prophylaxis must be administered. With regard to the mixed aerobic-anaerobic microbial flora in the oral cavity we should always assume the possible presence of Actinobacillus actinomycetemcommitans (in particular in concurrent periodontitis) and anaerobic organisms from the Bacteroides group. These microorganisms have a minimal sensitivity to antibiotic prophylaxis recommended by the American Heart Association in 1997. The authors recommend the use of effective antibiotic prophylaxis: amoxicillin combined with metronidazol or an ofloxacin preparation.
Keywords: Actinobacillus actinomycetemcommitans; Bacteroides spp.; amoxicillin; metronidazol; ofloxacin; bacterial endocarditis; antibiotic prophylaxis
Published: September 1, 2001 Show citation
This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.