Health
UK dentists should give antibiotics to patients at risk of heart infection – study | dentists
UK dentists should be encouraged to give antibiotics to patients at high risk for life-threatening heart infections before invasive procedures, a study found.
Studies suggest that bacteria entering the bloodstream through the mouth during dental procedures can explain 30% to 40% of cases of infective endocarditis. A rare but life-threatening condition occurs when the lining of the heart chambers and valves becomes infected.
Antibiotics may limit case numbers and reduce the risk of heart failure, stroke and premature death in high-risk patients, the study says.
Current guidelines from National Institutes of Health (Nice) Advise people at risk for infective endocarditis not to routinely use antibiotics before invasive dental procedures.
“Our study is the largest study to show a significant association between invasive dental procedures and infective endocarditis, especially tooth extractions and surgical procedures,” said the University of Sheffield, who led the study. Professor Martin Thornhill said.
Nice needs to review guidelines recommending antibiotic prophylaxis, researchers said.
Other national guideline committees, such as the American Heart Association and the European College of Cardiology, recommend antibiotics for high-risk patients.
“The data strongly support the guidance of nearly all committees worldwide, especially the American Heart Association, which recommends antibiotic prophylaxis for high-risk patients,” said Thornhill.
The team analyzed the medical, dental and prescription records of approximately 8 million people in the United States. Approximately 37,000 participants were at increased risk of endocarditis.
The risk of infective endocarditis was 10 times lower in high-risk patients who took antibiotics before tooth extraction compared with those who did not, and 12.5 times lower before surgery.
“We were able to compare high-risk people who received antibiotic prophylaxis with those who did not, and showed a significantly lower risk of infection after invasive antibiotic treatment,” Thornhill said. I’m here.
Good guidance should be updated and clarified, Thornhill said. The wording is very vague, leaving the question of whether a particular patient should receive antibiotic prophylaxis.
“The current study provides the evidence needed to discuss risks with patients and for dentists to recommend antibiotics when necessary,” added Thornhill.
A Nice spokesperson said:
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Sources 2/ https://www.theguardian.com/society/2022/aug/19/uk-dentist-should-give-antibiotic-patient-risk-infective-endocarditis-study-nice-guidelines The mention sources can contact us to remove/changing this article |
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