Wahl M J
Medical Center of Delaware, Wilmington, USA.
Pract Periodontics Aesthet Dent. 1995 Aug;7(6):29-36; quiz 37.
No issue in medicine or dentistry is the subject of more misunderstanding than the prevention of infective endocarditis and late prosthetic joint infections. To resolve some of the confusion, national medical groups have published guidelines for the prevention of these infections, including the use of antibiotic prophylaxis for certain dental procedures and certain at-risk patients. While these guidelines are helpful, there still are clinicians who either do not recommend antibiotics when indicated or recommend antibiotics without indication. An understanding of these issues helps to prevent not only the infections but also the adverse antibiotic effects and associated legal problems. The learning objective of this article is to educate clinicians on the prevention of dental-induced endocarditis and prosthetic joint infections.
在医学或牙科领域，没有哪个问题比感染性心内膜炎和晚期人工关节感染的预防更易产生误解。为了消除一些困惑，国家医学组织已发布预防这些感染的指南，包括针对某些牙科手术和某些高危患者使用抗生素预防。虽然这些指南很有帮助，但仍有临床医生在有指征时不推荐使用抗生素，或在无指征时推荐使用抗生素。了解这些问题不仅有助于预防感染，还能预防抗生素的不良影响及相关法律问题。本文的学习目标是让临床医生了解牙科诱发的心内膜炎和人工关节感染的预防。
