Prevention of Infective Endocarditis Following Dental Practices | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 17, Volume 70, Issue 4, January 2018, Page 630-633 PDF (236.52 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2018.11390 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Zainab Jaffar Alghazal  1; Abdullah Ahmad Basheer Alghamdi2
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| 1Dentistry College, Al-Farabi Colleges, Umm Al-Qura University, Saudi Arabia | ||||
| 2College of Medicine, Umm Al-Qura University, Saudi Arabia | ||||
| Abstract | ||||
| Introduction: Different guidelines and different regimens for prevention of infective endocarditis following operative procedures have been recommended. The purpose of this review was to explore the effectiveness of using antibiotics as prophylaxis in the prevention of IE in dental practice. Methods: The systematic search was conducted in the Medline, Science direct, CINAHL databases using search terms of (Infective endocarditis) AND (Epidemiology OR Bacteriology OR Prevention) AND (Dent*). The relevant information was extracted from eligible studies. The irrelevant, duplicated studies were excluded. Results: The antibiotic prophylaxis efficacy to prevent IE has never been assessed in a randomized controlled trial (RCT), and the profession has hedged far from such investigation on the grounds of numbers of patients required and ethical concerns. Perhaps the time has come for address this issue, a staged approach could be useful that is focusing a specific cardiovascular condition such as mitral valve prolapse in relation to operative dental procedures with low risk include endodontics and supragingival scaling. Conclusions: A multi-center approach will be required, but at least an RCT would confirm whether antibiotic prophylaxis is required and also assess the (risk/benefits) of the antimicrobial administered. | ||||
| Keywords | ||||
| Infective endocarditis; Dental; prevention; antibiotic; Prophylaxis | ||||
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