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Article: Chemoprophylaxis against infective endocarditis following dental surgery

TitleChemoprophylaxis against infective endocarditis following dental surgery
Authors
Keywordschemoprophylaxis
dentistry
endocarditis, bacterial
practice guidelines
Issue Date1995
PublisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.html
Citation
Hong Kong Medical Journal, 1995, v. 1 n. 2, p. 145-149 How to Cite?
AbstractPatients with certain cardiovascular abnormalities are recognised to beat risk - and some at high risk - of developing infective endocarditis following episodes of bacteraemia. Whenever a clinically important bacteraemia is anticipated in such susceptible patients, chemoprophylaxis (use of systemic antimicrobials) is advocated. However, the effectiveness of such measures remains unclear. Patients undergoing dentisty/oral surgery (especially extractions) experience bacteraemias (mainly viridans streptococci) lasting minutes. For susceptible patients undergoing the latter procedures, it is appropriate to sensibly educate them about the risks, ensure good dental hygiene, consider prior topical antisepsis, and be vigilant to the possible failure of chemoprophylaxis. Currently advocated chemoprophylactic guidelines are confusing and ambiguous. For patients susceptible to infective endocarditis - including those at high risk - undergoing potentially bacteraemic dental/oral surgical procedures, the recommendations in this account have been simplified. In individuals with a history of penicillin hypersensitivity or recent exposure, instead of erythromycin, the use of clindamycin (orally) or vancomycin (parenterally) is stressed.
Persistent Identifierhttp://hdl.handle.net/10722/53421
ISSN
2015 Impact Factor: 0.887
2015 SCImago Journal Rankings: 0.279

 

DC FieldValueLanguage
dc.contributor.authorKumana, CRen_HK
dc.contributor.authorYuen, KYen_HK
dc.contributor.authorSamaranayake, LPen_HK
dc.date.accessioned2009-04-03T07:19:19Z-
dc.date.available2009-04-03T07:19:19Z-
dc.date.issued1995en_HK
dc.identifier.citationHong Kong Medical Journal, 1995, v. 1 n. 2, p. 145-149en_HK
dc.identifier.issn1024-2708en_HK
dc.identifier.urihttp://hdl.handle.net/10722/53421-
dc.description.abstractPatients with certain cardiovascular abnormalities are recognised to beat risk - and some at high risk - of developing infective endocarditis following episodes of bacteraemia. Whenever a clinically important bacteraemia is anticipated in such susceptible patients, chemoprophylaxis (use of systemic antimicrobials) is advocated. However, the effectiveness of such measures remains unclear. Patients undergoing dentisty/oral surgery (especially extractions) experience bacteraemias (mainly viridans streptococci) lasting minutes. For susceptible patients undergoing the latter procedures, it is appropriate to sensibly educate them about the risks, ensure good dental hygiene, consider prior topical antisepsis, and be vigilant to the possible failure of chemoprophylaxis. Currently advocated chemoprophylactic guidelines are confusing and ambiguous. For patients susceptible to infective endocarditis - including those at high risk - undergoing potentially bacteraemic dental/oral surgical procedures, the recommendations in this account have been simplified. In individuals with a history of penicillin hypersensitivity or recent exposure, instead of erythromycin, the use of clindamycin (orally) or vancomycin (parenterally) is stressed.en_HK
dc.languageengen_HK
dc.publisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.htmlen_HK
dc.relation.ispartofHong Kong Medical Journalen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.rightsHong Kong Medical Journal. Copyright © Hong Kong Medical Association.en_HK
dc.subjectchemoprophylaxisen_HK
dc.subjectdentistryen_HK
dc.subjectendocarditis, bacterialen_HK
dc.subjectpractice guidelinesen_HK
dc.titleChemoprophylaxis against infective endocarditis following dental surgeryen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1024-2708&volume=1&issue=2&spage=145&epage=149&date=1995&atitle=Chemoprophylaxis+against+infective+endocarditis+following+dental+surgeryen_HK
dc.identifier.emailYuen, KY:kyyuen@hkucc.hku.hken_HK
dc.identifier.emailSamaranayake, LP:lakshman@hku.hken_HK
dc.identifier.authorityYuen, KY=rp00366en_HK
dc.identifier.authoritySamaranayake, LP=rp00023en_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.scopuseid_2-s2.0-0029565122en_HK
dc.identifier.hkuros8531-
dc.identifier.volume1en_HK
dc.identifier.issue2en_HK
dc.identifier.spage145en_HK
dc.identifier.epage149en_HK
dc.publisher.placeHong Kongen_HK
dc.identifier.scopusauthoridKumana, CR=7005112381en_HK
dc.identifier.scopusauthoridYuen, KY=36078079100en_HK
dc.identifier.scopusauthoridSamaranayake, LP=7102761002en_HK

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