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Scientific article
French

Utilité de la prophylaxie antibiotique avant un geste dentaire pour les porteurs de prothèses totales du genou ou de la hanche

Other titleAntibiotic prophylaxis before dental procedures in arthroplasty patients
Published inRevue médicale suisse, vol. 6, no. 243, p. 727-730
Publication date2010
Abstract

Antibiotic prophylaxis is commonly prescribed to patients with total arthroplasties before a dental intervention. This attitude is not evidence-based for several reasons: 1) the usual pathogens of prosthetic joint infections are not of oral origin; 2) even if given, systemic antibiotic do not completely suppress the occult bacteraemia occurring during dental intervention and 3) humans may have up to twelve episodes of occult bacteraemia of dental origin per day. Routine antibiotic prophylaxis should be clearly distinguished from the antibiotic treatment required in case of established oral cavity infection. A constant optimal oral and dental hygiene is more important in terms of prevention and should be routinely recommended to every patient carrying a joint arthroplasty.

Keywords
  • *Antibiotic Prophylaxis
  • *Arthroplasty, Replacement
  • *Dental Care
  • Humans
  • Prosthesis-Related Infections/*prevention & control
Citation (ISO format)
UCKAY, Ilker et al. Utilité de la prophylaxie antibiotique avant un geste dentaire pour les porteurs de prothèses totales du genou ou de la hanche. In: Revue médicale suisse, 2010, vol. 6, n° 243, p. 727–730.
Identifiers
ISSN of the journal1660-9379
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