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Prevention of infective endocarditis: not by antibiotics alone. A 7-year follow-up of 90 dental patients.

Authors
  • Tzukert, A A
  • Leviner, E
  • Sela, M
Type
Published Article
Journal
Oral Surgery Oral Medicine Oral Pathology
Publisher
Elsevier
Publication Date
Oct 01, 1986
Volume
62
Issue
4
Pages
385–388
Identifiers
PMID: 2946012
Source
Medline
License
Unknown

Abstract

Ninety patients (thirty-nine men, fifty-one women with a mean age of 45.4 years with rheumatic heart disease or prosthetic heart valves, were subjected to a total of 1617 dental procedures, which required about 3400 patient/dentist encounters. All treatments were performed according to the protocol described in the present article. Although theory expects three to six cases of infective endocarditis cases in the described population, none of the patients have encountered the disease (p = 0.0013). A conceptual approach, as well as the protocol, is presented. Properly applied, the protocol will reduce the probability of iatrogenic and self-inflicted bacteremia, thus elevating the efficacy of the preventive process.

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