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Title

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

Authors
Trampuz, A.
Borens, O.
Published in Revue médicale suisse. 2010, vol. 6, no. 243, p. 727-730
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 CareHumansProsthesis-Related Infections/*prevention & control
Identifiers
PMID: 20432994
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Structures
Research groups Groupe Scolozzi Paolo (chirurgie maxillo-faciale et buccale) (896)
Chirurgie orthopédique et traumatologique (98)
Traumatologie ostéoarticulaire (99)
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(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. https://archive-ouverte.unige.ch/unige:20576

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Deposited on : 2012-05-22

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