Infective endocarditis is a severe heart disease that presents risk of death, and their development can be related to bacteremias (presence of bacteria in the bloodstream) arising out of dental procedures that cause of vegetation or heart valves endocardium mural by a microbiological agent that, in most cases, are bacteria.
The bacteremias can be caused by dental procedures or simple habits, such as brushing and using dental floss, because the oral cavity is home to a large number of microorganisms that can enter the bloodstream.
clinical manifestations that characterize the disease are: reduction of the overall framework of patients, arthritis, anemia, night chills, confusion, embolism, splenomegaly, fever, poor appetite, weight loss, petechiae, heart failure,
murmur.
the Endocarditis can be diagnosed by clinical examination with the aid of additional tests. Between the examinations we have: blood culture, electrocardiogram, Echocardiogram, cardiological examination and catheterization
The significant etiologic agents for the development of endocarditis are viridans infeccionsa: Streptococcus, Staphylococcus aureus, ChlamÃdias and
fungi.
Procedures as prophylaxis in patients of risk can develop endocarditis, bacterial and is required in some cases. A good anamnesis should be pari passu-you want to meet with professional risk patients with
of this pathology.
drugs chosen for prophylaxis before dental treatment should be directed to MYCO-organisms most commonly found in the oral cavity, being contraindicada an administration in prolonged periods, before surgery, avoiding the emergence of resistance to micoorganismo.
must be borne in mind that it is the responsibility of the surgeon-dentist knowledge of recommendations and guide limitation AHA (American Heart Association), and this must be always up to date in relation to the periodic changes in the Protocol that are developed from the advancement of the process of learning about the causes and pathophysiology of subacute bacterial endocarditis.
– Recommendations – American Heart Association recommendations guide the surgeon-dentist
Antibiotic Prophylaxis (2 grams of antibiotic one hour before the procedure) to patients with a history of:
- cardiovascular Surgery
rheumatic fever mitral valve Prolapse (murmur)
intra-articulares Prostheses prior
infective endocarditis.
until the next
!Dra
. Lusiane Borges
more information on the site www.portalbiologica.com.br/>
