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牙源性菌血症及其对细菌性心内膜炎发生的影响。

The bacteremia of dental origin and its implications in the appearance of bacterial endocarditis.

机构信息

Department of Dentistry, Faculty of Dentistry, University of Granada, Campus Universitario de Cartuja s / n, E-18071 Granada, Spain,

出版信息

Med Oral Patol Oral Cir Bucal. 2014 Jan 1;19(1):e67-74. doi: 10.4317/medoral.19562.

Abstract

Numerous systemic diseases may affect the oral cavity and vice versa,in particular severe diseases that involve the heart valve. In these cases, additional measures or a modification to our dental treatment need to be taken. We are aware of various diseases that can cause the emergence of bacterial endocarditis (BE), such as; rheumatic fever, valve lesions due to intravenous drug use, Kawasaki disease and valve surgery, among others. Due to its severity when it is not taken into account in dental treatment, we intend to show the evolution of the antimicrobial prophylaxis towards this condition. Furthermore, we intend to publish the current guidelines of institutions and societies which increasingly encourage rational antimicrobial use. In addition, we intend to examine the evidence of the possible origins of this disease during dental treatment and at the same time describe the necessary considerations that need to be taken during dental treatment.

摘要

许多系统性疾病会影响口腔,反之亦然,特别是涉及到心脏瓣膜的严重疾病。在这些情况下,需要采取额外的措施或修改我们的牙科治疗方案。我们了解到各种疾病可能导致细菌性心内膜炎 (BE) 的出现,例如风湿热、静脉吸毒引起的瓣膜损伤、川崎病和瓣膜手术等。由于在牙科治疗中不考虑这种疾病的严重程度,我们打算展示针对这种情况的抗菌预防措施的演变。此外,我们打算发布机构和协会的现行指南,这些指南越来越鼓励合理使用抗菌药物。此外,我们还打算研究在牙科治疗过程中这种疾病可能的起源的证据,同时描述在牙科治疗过程中需要考虑的必要事项。

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