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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
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Česky / Czech version | Prakt. zub. Lék., 49, 2001, No. 3, p. 96-101 |
Contribution to the Prophylaxis of Infec-
tious Endocarditis during Dental Treatment Zemen J. Houba R. Smola S.F. Stomatologická klinika LF UK v Plzni, přednosta prof. MUDr. J. Kilian, DrSc. Společenství odborných praxí Neu Ulm, SRN |
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Summary: 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 local
disinfection 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.
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