Volfin G, Yarom N, Elad S, Volpin G
Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel.
Refuat Hapeh Vehashinayim (1993). 2011 Apr;28(2):35-45, 74.
Prosthetic joint infection (PJI) is a severe illness which may cause pain and discomfort, may damage the quality of life and may even be life-threatening. A variety of studies have demonstrated the presence of bacteria in a small but potentially dangerous number of prosthetic joint infections that may have originated in the oral cavity. Some dental treatments such as calculus removal, extractions, dental implants placements etc. and daily oral hygiene routines such as tooth brushing may cause bacteremia. Recently the American Academy of Orthopaedic Surgeons (AAOS) published updated guidelines for antibiotic prophylaxis to prevent prosthetic joint infections. These guidelines suggest a direct and established connection between dental treatments and prosthetic joint infections, and expand the criteria to prescribe antibiotic prophylaxis prior to dental procedures associated with bacteremia. The purpose of this review is to introduce these new guidelines, and to review the literature regarding the relationship between dental care and prosthetic joint infections.
人工关节感染(PJI)是一种严重疾病,可能导致疼痛和不适,会损害生活质量,甚至可能危及生命。各种研究表明,在少数可能源自口腔的人工关节感染中存在细菌,其数量虽少但具有潜在危险性。一些牙科治疗,如牙结石清除、拔牙、种植牙植入等,以及日常口腔卫生习惯,如刷牙,都可能导致菌血症。最近,美国矫形外科医师学会(AAOS)发布了预防人工关节感染的抗生素预防更新指南。这些指南表明牙科治疗与人工关节感染之间存在直接且已确定的联系,并扩大了在与菌血症相关的牙科手术前开具抗生素预防药物的标准。本综述的目的是介绍这些新指南,并回顾有关牙科护理与人工关节感染之间关系的文献。