Relevancia de profilaxis antibiótica ante procedimientos dentales generadores de bacteriemias transitorias

Fernandez, E; Reyes, Christopher; Benavides, Carolina; Irarrázaval, Tamara; Padilla, Paula

doi:10.4067/s0034-98872018000700899

Cited by 19 publications

(10 citation statements)

References 26 publications

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“…This very uncommon phenomenon can be explained by the haematogenous spreading of an infectious process [26]. The lipoma acts as a germ growth pabulum in cases of asymptomatic, transient bacteraemia caused by dental procedures, subclinical infections, etc [27, 28] The composition of the lipoma (tissues originating from all three germ layers) can increase the risk of haematogenous spreading. Moreover, in some lipomas with presacral extension (approximately 6.5% of cases), the infection could result simply from being in close proximity with the rectum [20].…”

Section: Discussionmentioning

confidence: 99%

Acute presentations of intradural lipomas: case reports and a review of the literature

et al. 2019

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Background Lumbosacral lipomas (LLs) may remain asymptomatic or lead to progressive neurological deterioration. However, sudden neurological deterioration is a rare and severe event. Herein, we report rare occurrences of sudden clinical deterioration in two previously asymptomatic children harbouring intradural LLs without dermal sinus tracts or signs of occult dysraphism. A review of the pertinent literature is also included. Case presentation One child exhibited acute deterioration because of an epidural abscess associated with a filar lipoma without a sinus tract (probably caused by haematogenous spreading from a respiratory tract multiple infection), and the other child exhibited acute deterioration because of a very large, holocord syringomyelia-like cyst associated with a small conus lipoma. Both patients were 4 years old. In case #2, a previously undetected, severe tethered cord (conus at the S3-S4 level) was also present. A complete recovery was attained after an urgent surgical operation in both cases (in addition to targeted antibiotic therapy in case #1). All cases of deterioration in the literature were caused by abscess formation in dermal sinus tracts. Conclusions Prophylactic surgery may be indicated even in asymptomatic children that have tethered cord and surgically favourable LLs (small dorsal and filar LLs), especially if the conditions are associated with progressive syringomyelia. Similarly, intradural dermal sinus tracts should be regarded as surgery-indicated, even if the conus is in its normal position and the patient is asymptomatic because there is a consistent risk of severe, infection-related complications. Finally, asymptomatic patients with filar LLs and a normally located conus can be candidates for surgery or an accurate clinical and radiological follow-up.

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Section: Discussionmentioning

confidence: 99%

Acute presentations of intradural lipomas: case reports and a review of the literature

et al. 2019

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“…Muito embora procedimentos odontológicos sejam considerados fatores de risco para o desenvolvimento da EB, a disseminação de bactérias presentes na cavidade oral para a corrente sanguínea também pode acontecer diariamente, por meio da rotina de cuidados bucais (uso do fio dental e escovação) e processos fisiológicos (mastigação) (GALAR et al, 2019). A bacteremia que ocorre em eventos cotidianos é comumente chamada de bacteremia transitória, sendo que a prevalência apresenta-se próxima de 20-68%, sendo maior do que em procedimentos odontológicos invasivos ou não (7-50%) (FERNÁNDEZ et al, 2018).…”

Section: Palavrasunclassified

“…Além disso, estudos mostraram que a maioria dos enfermos com EB apresentavam problemas dentários, má higiene oral e não realizavam consultas odontológicas regulares (FERNÁNDEZ et al, 2018).…”

Section: Palavrasunclassified

Ensino, pesquisa e contribuições científicas em odontologia

Casais¹,

Pinheiro²

2021

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Ensino, pesquisa e contribuições científicas em odontologia -Volume I está licenciado sob CC BY 4.0.Esta licença exige que as reutilizações deem crédito ao criador. Ele permite que os reutilizadores distribuam, remixem, adaptem e construam o material em qualquer meio ou formato, mesmo para fins comerciais. O conteúdo da obra e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores, não representando a posição oficial da Editora Amplla. É permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores. Todos os direitos para esta edição foram cedidos à Editora Amplla.

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“…Oral bacteria have been implicated in causing bacterial endocarditis (Abranches et al, 2018), aspiration pneumonia (Maraki & Papadakis, 2015), osteomyelitis in children (Castellazzi et al, 2016), preterm low birth weight (Ye et al, 2020), coronary heart disease (Liu et al, 2020;Priyamvara et al, 2020), and cerebral infarction (Patrakka et al, 2019). The incidence of bacteremia following dental procedures has been well documented (Cahill et al, 2017;Fernández et al, 2018). Oral mucositis has been identified in several studies as an independent risk factor for bacteraemia and systemic infections, involving anaerobic bacteria and other species generally not found in the oral cavity (Lecomte et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Oral bacteria detection among children with cancer in a tertiary teaching hospital in Kuala Lumpur, Malaysia

et al. 2021

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This study sought to determine the prevalence of pathogenic and non-pathogenic bacteria in the oral cavities of children with cancer. There were 68 paediatric patients with cancer who were included in this study. Oral swab samples from the dorsum of tongues and mouth floors of these patients were subjected to culture, staining, and molecular methods to detect the bacteria. The overall prevalence of gram-positive and gram-negative bacteria was 79.4% (54/68; 95% CI = 68.4 -87.3) and 25% (17/68; 95% CI = 16.2 -36.4), respectively. Streptococcus salivarius and Streptococcus parasanguinis were the predominant pathogenic grampositive bacteria, while Neisseria subflava and Neisseria perflava were the most common pathogenic gram-negative bacteria. The results revealed that the number of bacteria isolates recovered in patients receiving cancer treatment was higher (55.9%) than those who had not received treatment (16.2%). Therefore, more isolated pathogenic bacteria were observed post-therapy (54.4%). Pathogenic organisms can have significant implications on patient health. Awareness of the types of bacteria inhabiting the oral cavity is essential to predict and prevent dental problems, and their associated systemic complications. Findings on the diversity of oral microflora can also provide a better understanding of the aetiology of oral diseases in paediatric patients receiving cancer treatment.

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Relevancia de profilaxis antibiótica ante procedimientos dentales generadores de bacteriemias transitorias

Cited by 19 publications

References 26 publications

Acute presentations of intradural lipomas: case reports and a review of the literature

Acute presentations of intradural lipomas: case reports and a review of the literature

Ensino, pesquisa e contribuições científicas em odontologia

Oral bacteria detection among children with cancer in a tertiary teaching hospital in Kuala Lumpur, Malaysia

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