J Can Dent Assoc. 2024 May;90:o4.
Infective endocarditis (IE) remains one of the most serious diseases with a high morbidity and mortality rate. Although the condition is more common in the medical field in a hospital setting, dentists must have a thorough understanding of the overall pathogenesis, epidemiology, risk factors and signs and symptoms that may be present in their patient population. In 2021, the American Heart Association (AHA) updated its guidelines on IE, emphasizing the specific criteria that put a patient at risk of acquiring IE, specific dental procedures that can increase the risk of IE by inducing bacteremia and an antibiotic prophylaxis regimen to act as a preventive measure if needed. This literature review gives the dental practitioner a general overview of the AHA guidelines as well as information on prevention in their at-risk patients and the need to emphasize a well-structured, consistent daily oral hygiene routine.
感染性心内膜炎（IE）仍然是一种最严重的疾病之一，具有较高的发病率和死亡率。尽管这种疾病在医院环境中的医疗领域更为常见，但牙医必须全面了解其患者群体中可能存在的整体发病机制、流行病学、危险因素和症状。2021 年，美国心脏协会（AHA）更新了其关于 IE 的指南，强调了使患者易患 IE 的特定标准、可通过诱导菌血症增加 IE 风险的特定牙科程序以及在需要时作为预防措施的抗生素预防方案。这篇文献综述使牙医对 AHA 指南有了一个总体的了解，以及在其高危患者中预防的信息，以及强调有组织、一致的日常口腔卫生习惯的必要性。
