Brown A R, Papasian C J, Shultz P, Theisen F C, Shultz R E
Department of Oral and Maxillofacial Surgery, University of Missouri-Kansas City, School of Dentistry 64108, USA.
J Am Dent Assoc. 1998 Oct;129(10):1455-61. doi: 10.14219/jada.archive.1998.0081.
Recent studies have shown that bacteremia can result from the removal of intraoral sutures. The authors found that preprocedural use of an antimicrobial oral rinse (0.12 percent chlorhexidine) did not significantly reduce the incidence of bacteremia when compared with no rinse at all. Similarly, a significant relationship between bleeding and bacteremia was not apparent. Most of the positive cultures yielded low colony counts. The results support the rationale for the American Heart Association's 1997 recommendations for use of antibiotic prophylaxis to prevent bacteremia, as well as the importance of good oral hygiene in prevention efforts.
最近的研究表明，口腔内缝线拆除可导致菌血症。作者发现，与不进行任何冲洗相比，术前使用抗菌口腔冲洗液（0.12%氯己定）并不能显著降低菌血症的发生率。同样，出血与菌血症之间也没有明显的显著关系。大多数阳性培养物的菌落计数较低。这些结果支持了美国心脏协会1997年关于使用抗生素预防菌血症的建议的基本原理，以及良好口腔卫生在预防工作中的重要性。
