Medical dental prophylaxis of endocarditis



Document title: Medical dental prophylaxis of endocarditis
Journal: The brazilian journal of infectious diseases
Database: PERIÓDICA
System number: 000290846
ISSN: 1413-8670
Authors: 1
1
2
Institutions: 1Universidade Guarulhos, Guarulhos, Sao Paulo. Brasil
2Pontificia Universidade Catolica de Campinas, Hospital Celso Pierro, Campinas, Sao Paulo. Brasil
Year:
Season: Oct
Volumen: 8
Number: 5
Pages: 340-347
Country: Brasil
Language: Inglés
Document type: Artículo
Approach: Caso clínico
English abstract Antibiotics have long been the main reason for the increase in man's longevity. Since their discovery, man has tried to reduce the level of infection by treating with antibiotics. At the same time, prophylactic use has been suggested, although this is controversial. Their routine use is not recommended, and empirical treatments at non-therapeutic doses, and indiscriminately, should be avoided, because they may become dangerous and harmful, causing among other things, the prevalence of resistant microorganisms and the eventual potentiation of an increase in morbid states. Infectious endocarditis is a systemic pathology that can start with a bacteremia, which comes either from dental procedures or/and chronic processes that already existed. Its etiopathogeny consists of a combination of bacteremia and two other factors: Cardiac injury, which can be congenital or/and acquired, and a debilitated immunological system (patients who have transplanted organs, or those who have auto-immune diseases, such as pemphigus vulgaris, systemic lupus erythematosus). The main goal is to prevent or to fight against the transient bacteremia, reducing its intensity and duration, and also to kill the bacteria in at-risk patients. In this way, infectious endocarditis can be prevented; the dental surgeon plays an important role in the prevention of this condition, which joins medical and dental aspects. This can be done by antibiotic prophylaxis. The dentist needs to be acquainted with the medical protocols of the heart health societies
Disciplines: Medicina
Keyword: Microbiología,
Odontología,
Sistema cardiovascular,
Endocarditis,
Profilaxis
Keyword: Medicine,
Cardiovascular system,
Dentistry,
Microbiology,
Endocarditis,
Prophylaxis
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