Post-operative Infections Antibiotic use in dentistry

1 post-operative infections

1.1 bactereamia
1.2 infective endocarditis
1.3 antibiotic treatment (prophylaxis)

post-operative infections
bactereamia

bacteraemia condition in bacteria present in blood , may cause disease, including systemic disease such infective endocarditis. dental treatments may cause bacteraemia, such tooth extractions, subgingival scaling or simple aggressive tooth brushing patients.

infective endocarditis

if bacteria involved in bacteraemia reach cardiac tissue, infective (or bacterial) endocarditis can develop, fatal outcomes. infective endocarditis infection of endothelium lining of heart. infective endocarditis known dentists post-operative infection , serious , life-threatening, patients @ high risk of developing disease, due weakened heart. may through having congenital heart defect, rheumatic or acquired valvular heart disease , prosthetic heart valves or vessels. common bacteria associated infective endocarditis streptococcus sanguinis.

antibiotic treatment (prophylaxis)

historically, use of antibiotic prophylaxis prevent post-operative infections, resulting bacteraemia, , infective endocarditis practiced dentists, in patients @ high risk (i.e. heart problems). however, according new recommendations national institution health , care excellence (nice), antibiotic prophylaxis should not offered patients @ risk of infective endocarditis. due ever-increasing antibiotic resistance , there no or little evidence show whether antibiotic prophylaxis effective or ineffective against post-operative infections. ethically, there still need discuss patients, benefits , disadvantages of antibiotic prophylaxis before make decision on whether go through or not.