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2017, Number 5

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Acta Pediatr Mex 2017; 38 (5)

Antimicrobial prophylaxis prior to dental procedures. Current situation and new perspectives

Rodríguez-Campos LF, Ceballos-Hernández H, Bobadilla-Aguirre A

Language: Spanish
References: 42
Page: 337-350
PDF size: 935.03 Kb.


ABSTRACT

Secondary bacteremia from dental procedures can produce episodes of infective endocarditis (IE), the implementation of antimicrobial prophylaxis (AP) aims to reduce transient bacteremia reducing the possibility of developing IE. So it is essential to know which antibiotics are of choice and in which cases to administer them or in which situations we can omit them. Currently there are multiple guidelines for applying AP, these guidelines differ on their recommendations to such a degree that they can confuse the practitioner in determining if the patient requires prophylactic antibiotic and choose the appropriate antimicrobial. Objetive: To compare different guidelines and recommendations in order to converge on a compilation with the outstanding contributions of each guide reviewed, in the same way expose the current regime used at the stomatology service at our Institution.
Conclusion: The stomatologist decisions can be based mainly on the American Heart Association (AHA) and Centro Nacional de Excelencia Tecnológica en Salud (CENETEC) guidelines for cardiac conditions where antimicrobial prophylaxis is warranted, and for patients with systemic diseases on the American Academy of Pediatric Dentistry (AAPD) guideline and the recommendations of our institution. Therefore in the future establish criteria to increase the use of non antibiotics methods to prevent infectious endocarditis and minimize the use of antimicrobial agents reducing the use of prophylactic antibiotic without exposing the patient to disseminated infections with minimal side effects.


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