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本文引用的文献

1
The use of prophylactic antibiotics prior to dental procedures in patients with prosthetic joints: Evidence-based clinical practice guideline for dental practitioners--a report of the American Dental Association Council on Scientific Affairs.人工关节置换患者牙科手术前预防性使用抗生素：牙科医生循证临床实践指南——美国牙科协会科学事务委员会报告
J Am Dent Assoc. 2015 Jan;146(1):11-16.e8. doi: 10.1016/j.adaj.2014.11.012. Epub 2014 Dec 18.
2
Is routine antibiotic prophylaxis cost effective for total joint replacement patients?
J Arthroplasty. 2015 Apr;30(4):543-6. doi: 10.1016/j.arth.2014.11.001. Epub 2014 Nov 10.
3
Antibiotic prophylaxis for dental procedures at risk of causing bacteremia among post-total joint arthroplasty patients: a survey of Canadian orthopaedic surgeons and dental surgeons.人工关节置换术后患者行可能引起菌血症的牙科操作的抗生素预防：加拿大骨科医师和牙科医师的调查。
J Arthroplasty. 2014 Jun;29(6):1091-7. doi: 10.1016/j.arth.2013.11.024. Epub 2013 Dec 2.
4
Unplanned readmission after total joint arthroplasty: rates, reasons, and risk factors.全关节置换术后非计划性再入院：发生率、原因和危险因素。
J Bone Joint Surg Am. 2013 Oct 16;95(20):1869-76. doi: 10.2106/JBJS.L.00679.
5
The American Academy of Orthopaedic Surgeons and the American Dental Association clinical practice guideline on the prevention of orthopaedic implant infection in patients undergoing dental procedures.美国矫形外科医师学会和美国牙科协会关于牙科手术患者预防矫形植入物感染的临床实践指南。
J Bone Joint Surg Am. 2013 Apr 17;95(8):745-7. doi: 10.2106/00004623-201304170-00011.
6
Drug cost implications for antibiotic prophylaxis for dental procedures.牙科操作中抗生素预防应用的药物成本影响。
Oral Surg Oral Med Oral Pathol Oral Radiol. 2013 Mar;115(3):345-53. doi: 10.1016/j.oooo.2012.10.008. Epub 2012 Dec 20.
7
Diagnosis and management of prosthetic joint infection: clinical practice guidelines by the Infectious Diseases Society of America.人工关节感染的诊断和治疗：美国传染病学会临床实践指南。
Clin Infect Dis. 2013 Jan;56(1):e1-e25. doi: 10.1093/cid/cis803. Epub 2012 Dec 6.
8
Antibiotic prophylaxis to reduce the risk of joint implant contamination during dental surgery seems unnecessary.在牙科手术中使用抗生素预防来降低关节植入物污染的风险似乎是不必要的。
Orthop Traumatol Surg Res. 2012 Dec;98(8):910-4. doi: 10.1016/j.otsr.2012.07.013. Epub 2012 Nov 15.
9
Prosthetic joint infection, dental treatment and antibiotic prophylaxis.人工关节感染、牙科治疗与抗生素预防
Orthop Rev (Pavia). 2009 Jun 30;1(1):e7. doi: 10.4081/or.2009.e7.
10
Premedication of patients undergoing dental procedures causing bacteremia after total joint arthroplasty.全膝关节置换术后引起菌血症的牙科操作患者的术前用药。
J Endod. 2010 Jun;36(6):974-7. doi: 10.1016/j.joen.2010.03.027. Epub 2010 Apr 24.

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.

DOI:10.1016/j.artd.2015.12.003
PMID:28326413
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5045463/
Abstract

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.

摘要

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。