人工关节置换术后牙科治疗的抗生素预防：探讨骨科医生的观点。
Antibiotic prophylaxis for dental treatment after prosthetic joint replacement: exploring the orthopaedic surgeon's opinion.
作者信息
McNally Clare M, Visvanathan Renuka, Liberali Sharon, Adams Robert J
机构信息
The Health Observatory, Discipline of Medicine, The University of Adelaide at the Queen Elizabeth Hospital Campus, Woodville South, South Australia, Australia; Special Needs Unit, Adelaide Dental Hospital, South Australian Dental Service, Adelaide, South Australia, Australia.
Adelaide Geriatrics Training and Research With Aged Care (GTRAC) Centre, School of Medicine, University of Adelaide, South Australia, Australia.
出版信息
Arthroplast Today. 2016 Mar 3;2(3):123-126. doi: 10.1016/j.artd.2015.12.003. eCollection 2016 Sep.
BACKGROUND
Antibiotic prophylaxis before dental treatment is routinely recommended by orthopaedic surgeons to prevent prosthetic joint infection (PJI). This recommendation is at odds with current guidelines.
METHODS
A postal survey of 9 checkbox or short-answer questions was completed by 633 orthopaedic surgeons.
RESULTS
The majority of respondents (n = 186 of 260, 72%) believe that antibiotic prophylaxis is required indefinitely for dental treatment. A small number (n = 43, 15%) seek a dentist's opinion before elective joint replacement. The surgeons reported low numbers of PJIs, although 24% (n = 68 of 280) believed that they were associated with dental treatment.
CONCLUSIONS
Australian orthopaedic surgeons continue to recommend antibiotic prophylaxis for dental treatment. The recording of PJI in relation to dental procedures into clinical registries would enable the development of consistent guidelines between professional groups responsible for the care of this patient group.
背景
骨科医生通常建议在牙科治疗前进行抗生素预防，以防止人工关节感染（PJI）。这一建议与当前指南不一致。
方法
633名骨科医生完成了一项包含9个复选框或简答题的邮寄调查。
结果
大多数受访者（260人中的186人，占72%）认为牙科治疗需要无限期进行抗生素预防。少数人（43人，占15%）在择期关节置换前会征求牙医的意见。外科医生报告的PJI病例数较少，尽管24%（280人中的68人）认为它们与牙科治疗有关。
结论
澳大利亚骨科医生继续建议对牙科治疗进行抗生素预防。将与牙科手术相关的PJI记录到临床登记册中，将有助于负责该患者群体护理的专业团体制定一致的指南。
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