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  Česky / Czech version Prakt. zub. Lék., 49, 2001, No. 3, p. 89-95
 
Dental Treatment of Patients with Transplanted Organs with Regard to the Problem of Antibiotic Prophylaxis 
Smola S. F., Zemen J., Houba R. 

Společenství odborných praxí Neu Ulm, SRN Stomatologická klinika LF UK v Plzni, přednosta prof. MUDr. J. Kilian, DrSc.
 


Summary:

       The authors discuss the problem of dental treatment of subjects after organ transplantation, in particular from the aspect of self-handed dentists. Consistent with the view of the German professional society for dental, oral and maxillary medicine (DGZMK) and other professional sources, they recommend for antibiotic prophylaxis of the „single shot“ type primarily a combination of amoxicillin and metranidazol. They advise to base the selection of optimal continuous adjuvant antibiosis for prophylaxis in planned treatment during consecutive sessions on results of a molecular-biological tests (e.g. micro-Dent). The authors mention the principle of the original collection of biological material (so-called POCKET-OUT) according to Smola and Rettenberg for asessment of the main oral pathogens not only from the sulcus but also from the gingival surface. In a table they summarize the problem of antibiotic prophylaxis in the treatment of adult patients after transplantations.

        Key words: organ transplantation – antibiotic prophylaxis – molecular-biological tests – amoxicillin – metronidazol
       

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