Investigation of bacteremia following nasotracheal intubation

Önçağ, Özant; Cökmez, Berna; Aydemir, Şöhret; Balcioglu, Taner

doi:10.1111/j.1460-9592.2005.01503.x

Cited by 21 publications

(12 citation statements)

References 31 publications

(42 reference statements)

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“…Furthermore, the incidence was higher when electric sonicating toothbrushes rather than conventional tooth brushes were used (12). The latter finding on bacteremia under general anesthesia needs to be interpreted cautiously, as prolonged intubation in itself causes bacteremia and the magnitude of bacteremia in terms of incidence and diversity increases with the duration of the intubation (93).…”

Section: Personal Oral Hygiene Measuresmentioning

confidence: 99%

“…When surgical incisions were made to facilitate the extraction of teeth, particularly impacted third molars, with subsequent insertion of sutures, nearly 10% of individuals had a bacteremia following the removal of sutures, and the incidence was not reduced by the use of preoperative antiseptic rinses (16). Despite the fact that intubation is associated with bacteremia (93), no significant change in bacteremic incidence was observed when extractions were performed under general anesthesia (128). In addition, there is no apparent change in the incidence of bacteremia with increased numbers of teeth extracted or the use of mucoperiosteal elevators (103,111,133).…”

Section: Tooth Extractionmentioning

confidence: 99%

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Microbiology of Odontogenic Bacteremia: beyond Endocarditis

et al. 2009

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SUMMARY The human gingival niche is a unique microbial habitat. In this habitat, biofilm organisms exist in harmony, attached to either enamel or cemental surfaces of the tooth as well as to the crevicular epithelium, subjacent to a rich vascular plexus underneath. Due to this extraordinary anatomical juxtaposition, plaque biofilm bacteria have a ready portal of ingress into the systemic circulation in both health and disease. Yet the frequency, magnitude, and etiology of bacteremias due to oral origin and the consequent end organ infections are not clear and have not recently been evaluated. In this comprehensive review, we address the available literature on triggering events, incidence, and diversity of odontogenic bacteremias. The nature of the infective agents and end organ infections (other than endocarditis) is also described, with an emphasis on the challenge of establishing the link between odontogenic infections and related systemic, focal infections.

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Section: Personal Oral Hygiene Measuresmentioning

confidence: 99%

Section: Tooth Extractionmentioning

confidence: 99%

Microbiology of Odontogenic Bacteremia: beyond Endocarditis

et al. 2009

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“…On the other hand, bleeding from instrumentation of the upper airway via tracheal intubation has been shown to be associated with bacteremia. 20 , 21 Several authors 22-29 reported that bacteremia occurs more frequently after nasotracheal than orotracheal intubation.…”

Section: Discussionmentioning

confidence: 99%

Postoperative Discomfort of Dental Rehabilitation under General Anesthesia

Cantekin¹,

Yıldırım²

2014

Pak J Med Sci

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Objective: To find out postoperative discomfort in children undergoing dental rehabilitation under general anesthesia (DRGA). Methods: This study involved 78 (4 to 10 year-old) healthy patients who were scheduled for DRGA and were needed extensive dental treatment because of severe caries, and showed high dental fear and/or behavioral management problems. The children had to be fit for DRGA administration by fulfilling the American Society of Anesthesiologists physical status I or II and no associated mental health or communication problems. Data were collected by structured interview either face to face (immediately post operation) or using a telephone (post operation after discharge). One of the study’s investigators recorded all data related to the immediate postoperative period during the child’s stay in the post-anesthesia care unit (PACU). The questionnaire consisted of questions related to postoperative problems experienced by the patient in the period after their day-stay attendance. The questionnaire, consisting of questions regarding and generally related to the child’s activities. In addition, pain was assessed using the face, legs, activity, cry, consolability (FLACC) scale. Results: The prevalence of postoperative problems was 46 out of 78 (59%). The mean FLACC score was 1.8 (SD=2.1). Some of the patients having more than one reported problem. Forty-one percent of the children showed nasal discomfort (P<0.01). Thirty-three percent and 43% of the children experienced throat or mouth discomfort. The most common experienced postoperative symptom after DRGA was bleeding. Nasal bleeding, however, was an uncommon complication and did not cause serious morbidity or mortality in children intubated nasotracheally. In addition, postoperative discomfort was related to number of the extractions. Children who had 4 or more extractions were more likely to experience pain. Findings associated with other bodily functions were assessed. Nausea and vomiting were reported in 20.5% of children. Twenty-six children (18%) had a fever. Thirty-nine (50.0%) parents reported that their children had problems eating. Conclusion: Post-operative discomfort was more with 4 or more extraction done under DRGA and that nasal bleeding was noted a uncommon post-operative symptom.

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“…Onçag et al. [16] stated that the difference in the incidence of bacteraemia after nasotracheal and orotracheal intubation is related not to the procedure but rather to the anatomical pathway and the resident flora. In contrast to these reports, the incidence of post‐intubation bacteraemia in the present series was not affected by the route of intubation.…”

Section: Discussionmentioning

confidence: 99%

The incidence of bacteraemia associated with tracheal intubation

et al. 2008

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Summary Expert committees on bacterial endocarditis prophylaxis have provided differing opinions on whether tracheal intubation is an ‘at‐risk’ manipulation. We studied the incidence of bacteraemia after orotracheal and nasotracheal intubation. The study group comprised 110 patients who underwent surgery under general anaesthesia. Venous blood samples were collected from each patient at baseline and 30 s after intubation. Samples were processed with conventional microbiological techniques. Bacteraemia after tracheal intubation was detected in 13 patients (11.8%); six after orotracheal intubation and seven after nasotracheal intubation. Staphylococci and streptococci were the most commonly isolated bacterial species. Seven isolates (54%) were resistant to oxacillin. The incidence of bacteraemia was similar after orotracheal (12.0%) and nasotracheal intubation (11.7%). The recommendation for bacterial endocarditis prophylaxis with flucloxacillin when performing nasotracheal intubation, as put forward by the British Society for Antimicrobial Chemotherapy, needs further consideration.

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Investigation of bacteremia following nasotracheal intubation

Abstract: Since the occurrence of bacteremia after nasotracheal intubation is hazardous for patients at risk for developing infective endocarditis, to prevent further complications prophylactic antibiotic treatment is recommended.

Cited by 21 publications

References 31 publications

Microbiology of Odontogenic Bacteremia: beyond Endocarditis

Microbiology of Odontogenic Bacteremia: beyond Endocarditis

Postoperative Discomfort of Dental Rehabilitation under General Anesthesia

The incidence of bacteraemia associated with tracheal intubation

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