Studies on Bacteremia Following Oral Surgery: Some Prophylactic Approaches to Bacteremia and the Results of Tissue Examination of Excised Gingiva

Gutverg, Manuel; Haberman, Shoshana

doi:10.1902/jop.1962.33.2.105

Cited by 17 publications

(5 citation statements)

References 10 publications

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“…It may also be resistant to amoxycillin because of same mode of action. Hospital strains of Klebsiella display multiple resistance[ 14 ] As Amoxicillin was effective against other micro-organisms and not against Klebsiella it could have disturbed the symbiotic relationship of the oral micro-organisms giving Klebsiella an opportunity for proliferation and thus entering the stream more often. …”

Section: Discussionmentioning

confidence: 99%

“…It may also be resistant to amoxycillin because of same mode of action. Hospital strains of Klebsiella display multiple resistance[ 14 ]…”

Section: Discussionmentioning

confidence: 99%

“…Gutverg and Haberman[ 14 ] isolated pseudomonas from the periodontal pockets of 5 out of 231 patients. In this study, streptococcus viridans was encountered in three of the 60 blood samples, occurring twice in non premedicated patients and once in patients given prophylactic amoxicillin.…”

Section: Discussionmentioning

confidence: 99%

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Postoperative bacteremia in periodontal flap surgery, with and without prophylactic antibiotic administration: A comparative study

Asi¹,

Gill²,

Mahajan³

2010

J Indian Soc Periodontol

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Objectives:Many a times in clinical periodontology, the decision whether to prescribe prophylactic antibiotics or not, is perplexing.The present study was conducted to compare the bacteremias induced after periodontal flap surgeries with and without prophylactic antibiotics.Materials and Methods:The occurrence of postoperative bacteremia following periodontal flap surgery was studied in 30 patients. On these patients, 30 quadrant wise flap surgeries were carried out without any preoperative prophylactic antibiotics and 30 surgeries carried out after prophylactic administration of amoxycillin preoperatively. A blood sample was taken from each patient at the time of maximum surgical trauma and was cultured for micro-organisms and antibiotic sensitivity.Results:18 out of 60 blood samples were positive for micro-organisms. There was a significant reduction in post operative bacteremia after amoxycillin prophylaxis (x2 - 7.96 with P<0.01) as post operative bacteremia was found in 14 of the non medicated patients as compared to only 4 of the pre medicated patients. The micro-organisms encountered in the study are as follows:- 1) Staphylococcus albus coagulase negative, 2) Klebsiella, 3) Psedomonas aerugenosa, 4) Streptococcus viridans, 5) Alpha hemolytic streptococcus, 6) Neisseria catarrhalisConclusion:On the basis of the study, it is concluded that the incidence of postoperative bacteremia following periodontal flap surgery is not as high as previously reported. The clinical results show that Amoxicillin is highly effective in reducing postoperative bacteremia in periodontal flap surgery and thus in preventing the possible sequelae (Infective Endocarditis and other systemic maladies) in susceptible patients. However, cefotaxime and cephalexin may prove to be more effective in preventing the same.

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Section: Discussionmentioning

confidence: 99%

“…It may also be resistant to amoxycillin because of same mode of action. Hospital strains of Klebsiella display multiple resistance[ 14 ]…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Postoperative bacteremia in periodontal flap surgery, with and without prophylactic antibiotic administration: A comparative study

Asi¹,

Gill²,

Mahajan³

2010

J Indian Soc Periodontol

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“…Transient bacteremia may result from various manipulative orodental procedures like extractions of teeth, 1 scaling and root planning 2,3 and gingivectomy. 4 Continuous bacteremia is defined as a kind of bacteremia where bacteria are always in the blood which may be pathogenic or nonpathogenic. Intermittent is a kind of bacteremia where the bacteria enter the blood at various time intervals which also may be pathogenic or nonpathogenic.…”

Section: Introductionmentioning

confidence: 99%

“…Zachrisson and Zachrisson 9 (1972) found that, even with good cleaning, most patients with fixed orthodontic appliances exhibited hyper plasic gingivae. 4 Chung et al 5 (1986) observed in a sample of 16 patients (11 showing good oral hygiene and 5 showing poor oral hygiene) that, the ten patients with good and poor oral hygiene undergoing orthodontic therapy with fixed appliances exhibited transient bacteremia. Their study demonstrated the ability of the body immune system, to reduce the bacteria of blood stream in 15 minutes.…”

Section: Introductionmentioning

confidence: 99%

Correlation of Transient Bacteremia with Duration of Orthodontic Treatment

Dubey

Jain²,

Dubey

et al. 2014

J Indian Orthod Soc

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Objective: The study was conducted to find out the correlation if any between the duration of wearing orthodontic appliances and the intensity of transient bacteremia. Materials and methods: Study has been carried out on 50 subjects (21 males and 29 females), age ranging from 11 to 21 years, categorized in the separate groups with 25 subjects in each group of fixed (E1) and active removable appliances (E2). Both groups have been further divided into two subgroups separately, according to treatment duration; subgroup A, where treatment duration was less than 1 year and subgroup B, where treatment duration was more than 1 year. To find out transient bacteremia, blood samples from median cubital vein were collected before and after 5 minutes of brushing in all groups. Blood was cultured to observe growth of aerobic and anaerobic bacterial strains. Results: Study indicates no association between treatment duration and transient bacteremia in Group E1 but there was significant association between treatment duration and aerobic bacterial growth in Group E2. Findings reveal that the transient bacteremia was found more in orthodontic patients wearing appliances less than 1 year than those wearing appliances more than 1 year. Conclusion: There is significant association between treatment duration and transient bacteremia in case of active removable appliances. Further the duration of fixed orthodontic appliances in patients following proper oral hygiene instructions has no effect on transient bacteremia.

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