Prevention of the infective endocarditis during the dental procedures

• Published in: Stomatološki glasnik Srbije Vol. 52; no. 3; pp. 152 - 154
• Main Authors: Puskar, Tatjana, Puskar, S., Nikolic, Z.
• Format: Journal Article
• Language: English
• Published: Serbian Medical Society - Dental Section, Belgrade 2005
• Subjects: infective endocarditis; prevention
• ISSN: 0039-1743; 1452-3701
• DOI: 10.2298/SGS0503152P

Endocarditis is endovascular infective disease of intracardiac structures, which are in contact with blood. The most common cause is Staphylococcus aureus and Streptococcus viridans, which inhabit oral cavity. During dental intervention, which includes gingival trauma (risky dental intervention) microorganisms that cause infective endocarditis could penetrate into circulation of the blood. The group of high risk patients consists of patients which have already had infective endocarditis, patients with prosthetic heart valves or other foreign endovascular bodies, patients with congenital heart defect, patients with acquired heart defect, prolapse of mitral valve with registered mitral regurgitation and hyphertrophic cardiomiopathy. Those groups of patients should have prevention from infective endocarditis before any risky dental intervention with bactericidal dosage of wide spectrum antibiotics at least an hour before the procedure. .
Infektivni endokarditis je endovaskularna zarazna bolest intrakardijalnih struktura koje su u dodiru sa krvlju. Izazivaci su najcesce Staphilococus aureus i Streptococus viridans, koji su stanovnici usne duplje. Prilikom stomatoloskih intervencija sa traumom gingive (rizicne stomatoloske intervencije) moze doci do prodora mikroorganizama izazivaca infektivnog endokarditisa u krvotok. U grupu rizicnih pacijenata za nastanak infektivnog endokarditisa spadaju pacijenti sa prebolelim infektivnim endokarditisom, pacijenti sa vestackim zaliscima ili drugim stranim endovaskularnim telima, urodjene srcane mane, stecene srcane mane, prolaps mitralnog zalistka sa registrovanom mitralnom regurgitacijom i hipertroficna kardiomiopatija. Kod ovih grupa pacijenata potrebno je sprovesi prevenciju infektivnog endokarditisa pre svake rizicne stomatoloske intervencije baktericidnim dozama antbiotika sirokog spektra 1 sat pre procedure. .