Bacteremia of dental origin and antimicrobial sensitivity following oral surgical procedures in children.

Abstract:

METHODS:The prevalence and intensity of bacteremia of dental origin were examined in 207 children divided into four groups: a baseline with no surgical intervention (group I), after a single tooth extraction (group II), multiple tooth extraction (group III), and mucoperiosteal flap elevation (group IV). The bacterial isolates were grown using a broth culture (Bactec) and lysis centrifugation (Paediatric Isolator) techniques. Dental plaque deposits, gingivitis, spontaneous gingival bleeding and the presence/absence of a dental abscess were recorded and their relationship to bacteremia assessed. RESULTS:The broth culture was positive for group I 11% of the time, group II for 43%, group III for 54%, and group IV for 43%. The Paediatric Isolator system was found to be a poor method for detecting bacteremia, having only one quarter the sensitivity of the broth culture technique. When organisms were isolated, the intensity of bacteremia ranged from 1 to 3400 colony forming units per milliliter (cfu/mL). Bacterial isolates were susceptible to most of the antibiotics recommended for antibiotic prophylaxis, but erythromycin, gentamycin, penicillin G, and teicoplanin were only 80% (or less) effective in their efficacy while chlorhexidine, amoxicillin, clindamycin, and vancomycin were between 92 and 100% effective. CONCLUSIONS:The antibiotics commonly used for an oral and/or parenteral prophylaxis are likely to be effective on at least 80% of occasions with most of them effective on 100% of occasions.

journal_name

Pediatr Dent

journal_title

Pediatric dentistry

authors

Roberts GJ,Watts R,Longhurst P,Gardner P

subject

Has Abstract

pub_date

1998-01-01 00:00:00

pages

28-36

issue

1

eissn

0164-1263

issn

1942-5473

journal_volume

20

pub_type

临床试验,杂志文章,随机对照试验
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    authors: Memarpour M,Mesbahi M,Rezvani G,Rahimi M

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    doi:

    authors: Artopoulou II,Martin JW,Suchko GD

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    authors: Olacke B,Nelson T,Sarvas E,Scott JM

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    pub_type: 杂志文章

    doi:

    authors: Houpt M

    更新日期:1993-01-01 00:00:00

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    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Holan G,Eidelman E,Fuks AB

    更新日期:2005-03-01 00:00:00

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    doi:

    authors: Kopycka-Kedzierawski DT,Auinger P

    更新日期:2008-01-01 00:00:00

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    pub_type: 杂志文章

    doi:

    authors: Fuks AB,Gavra S,Chosack A

    更新日期:1993-09-01 00:00:00

  • The sensitivity and specificity of a colorimetric microbiological caries activity test (Cariostat) in preschool children.

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    pub_type: 杂志文章

    doi:

    authors: Koroluk L,Hoover JN,Komiyama K

    更新日期:1994-07-01 00:00:00

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    journal_title:Pediatric dentistry

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    更新日期:2002-05-01 00:00:00

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    doi:

    authors: Flaitz CM,Vojir CP,Bradley KA,Casamassimo PS,Kaplan DW

    更新日期:1991-01-01 00:00:00

  • US pediatric dentists' counseling practices in addressing childhood obesity.

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    doi:

    authors: Lee JY,Caplan DJ,Gizlice Z,Ammerman A,Agans R,Curran AE

    更新日期:2012-05-01 00:00:00

  • Appropriate Fluoride Toothpaste Application: Improving Caregiver Compliance.

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    journal_title:Pediatric dentistry

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  • Inter-relations between infraocclusion of primary mandibular molars, tipping of adjacent teeth, and alveolar bone height.

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  • Pediatric Phantom Dosimetry Evaluation of the Extraoral Bitewing.

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    journal_title:Pediatric dentistry

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    authors: Palmer EA,Nielsen T,Peirano P,Nguyen AT,Vo A,Nguyen A,Jackson S,Finlayson T,Sauerwein R,Marsh K,Edwards I,Wilmot B,Engle J,Peterson J,Maier T,Machida CA

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  • Growth and development considerations in the diagnosis of gingivitis and periodontitis in children.

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    pub_type: 杂志文章,评审

    doi:

    authors: Bimstein E,Matsson L

    更新日期:1999-05-01 00:00:00

  • Compound odontoma--diagnosis and treatment: three case reports.

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    pub_type: 杂志文章,评审

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  • Survival of Zirconia Crowns in Primary Maxillary Incisors at 12-, 24- and 36-Month Follow-Up.

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  • Immature permanent teeth with apical periodontitis and abscess treated by regenerative endodontic treatment using calcium hydroxide and MTA: a report of two cases.

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  • Dental Erosion in Children with Gastroesophageal Reflux Disease.

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