Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology
Oral MedicineIncidence and bacteriology of bacteremia associated with various oral and maxillofacial surgical procedures
Section snippets
Patients
A total of 237 patients (127 males and 110 females; mean age, 41.0) undergoing oral and maxillofacial surgery at Kanazawa University Hospital between July 2000 and July 2004 were included in the study. Excluded patients included those who had signs of general inflammation (not associated with disease or trauma treated here), immunosuppressed patients, and those receiving antibiotics or medication that might impair the immune system. Written informed consent for this study was obtained from all
Baseline bacteremia
Only 1 of the 46 blood samples (general anesthesia, 1 of 23; local anesthesia, 0 of 23) obtained before the start of surgery was positive for bacteremia, with Peptostreptococcus sp., being isolated.
Incidence of bacteremia associated with oral and maxillofacial surgical procedures
Bacteremia was detected with most of the surgical procedures tested in this study (Table I). Surgery for osteomyelitis resulted in the highest prevalence of positive blood culture (58.3%), closely followed by tooth extraction (57.9%). The incidence of bacteremia in patients who underwent orthognathic
Discussion
In this study, only 1 patient exhibited a positive blood culture obtained before the start of the operation. This low baseline incidence would therefore support the argument of the surgical procedure being the cause of any subsequent bacteremia.
Bacteremia was often detected in patients who underwent surgery for purulent osteomyelitis (Table I). This would support the belief that surgical procedure at infected sites is more likely to produce bacteremia.4
High incidence of post–tooth extraction
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2018, Journal of ArthroplastyCitation Excerpt :This may suggest the etiology behind the higher rates of PJI among RA patients [47]. Many studies demonstrate that there is increased bacteremia after dental procedures [48–54]. Because most PJIs occur within the first 2 years after surgery [55,56], it is recommended that antibiotic prophylaxis be administered during dental procedures to patients at high risk of developing PJI in an effort to reduce the risk of PJI caused by the bacteremia [57].
Multidrug-Resistant Organisms in the Setting of Periprosthetic Joint Infection—Diagnosis, Prevention, and Treatment
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