Bacteremia after dental treatment in mentally handicapped people.
Bacteremia may occur after disruption of the oral mucous membrane, particularly after dental treatment. 18 mentally handicapped patients who underwent dental treatment with general anesthesia were included in our study. None of the patients had general illnesses or received antibiotic protection. From each patient several blood samples were drawn aseptically during dental treatment and cultured. The majority of aerobic bacteria recovered belonged to Streptococcus sp and Gemella sp., anaerobic bacteria mainly belonged to Porphyromonas gingivalis and Peptostreptococcus sp. Resistance of the isolated bacteria to penicillin as well as to oxacillin, erythromycin and Co-trimoxazole was substantial. The highest resistance rate could be shown against fucidic acid.
Dental Department, General Hospital Asklepio, Voula, Greece.
M
M
Messini
I
I
Skourti
E
E
Markopulos
C
C
Koutsia-Carouzou
E
E
Kyriakopoulou
S
S
Kostaki
D
D
Lambraki
A
A
Georgopoulos
D000293:Adolescent; D000328:Adult; D000766:Anesthesia, Dental; D000768:Anesthesia, General; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000382:microbiology*; D016866:Bacteroidaceae Infections / Q000175:diagnosis; D003729:Dental Care; D004352:Drug Resistance, Microbial; D004917:Erythromycin / Q000627:therapeutic use; D005672:Fusidic Acid / Q000627:therapeutic use; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis; D006801:Humans; D008607:Intellectual Disability; D010068:Oxacillin / Q000627:therapeutic use; D010403:Penicillin Resistance; D010406:Penicillins / Q000627:therapeutic use; D010462:Peptostreptococcus / Q000187:drug effects / Q000302:isolation & purification; D016966:Porphyromonas gingivalis / Q000187:drug effects / Q000302:isolation & purification; D013290:Streptococcal Infections / Q000175:diagnosis; D013291:Streptococcus / Q000187:drug effects; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use
D000900:Anti-Bacterial Agents; D010406:Penicillins; D005672:Fusidic Acid; D004917:Erythromycin; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D010068:Oxacillin