Tan S Y, Gill G
Department of Medicine, Arrowe Park Hospital, Merseyside, UK.
J Dent. 1992 Dec;20(6):375-6. doi: 10.1016/0300-5712(92)90032-8.
A dental source of infection remains the most common identifiable risk factor in infective endocarditis and this may be particularly important in patients at 'high risk'. We therefore performed a questionnaire survey of dental practitioners to assess acceptance of The British Society of Antimicrobial Chemotherapy (BSAC) recommendations, especially with regards to selection of dental procedures for antibiotic prophylaxis. The results showed that the dental practitioners surveyed treated the 'high risk' patient group differently by extending the range of dental procedures covered by antibiotics but the BSAC only recommend that they be treated differently by hospital treatment and/or parenteral antibiotics. This must be an area of concern and deserves further attention, especially with regards to the need for wider publicity and the range of dental procedures that should be covered in the 'high risk' group where morbidity and mortality from infective endocarditis are higher.
牙源性感染仍是感染性心内膜炎最常见的可识别危险因素，这在“高危”患者中可能尤为重要。因此，我们对牙科医生进行了问卷调查，以评估他们对英国抗菌化疗协会（BSAC）建议的接受程度，特别是在选择抗生素预防的牙科手术方面。结果显示，接受调查的牙科医生通过扩大抗生素覆盖的牙科手术范围，对“高危”患者群体采取了不同的治疗方式，但BSAC仅建议通过住院治疗和/或胃肠外抗生素对他们进行不同的治疗。这必然是一个令人担忧的领域，值得进一步关注，特别是在需要更广泛宣传以及“高危”组应涵盖哪些牙科手术方面，因为感染性心内膜炎的发病率和死亡率在该组更高。
