[Antibiotic prophylaxis indicated in dental procedures in patients with a joint prosthesis].
Randomised controlled trials concerning antibiotic prophylaxis are lacking and reported incidence of late infections after dental procedures is probably underestimated by the high rate of antibiotic prescription in the past and the difficulty in establishing the origin of late infection. Bacteraemia after dental procedures has been proven, especially in infected areas and, given the serious morbidity of late prosthetic joint infections, antibiotic prophylaxis is advised, particularly for patients with risk factors such as rheumatoid arthritis and haemophilia.
Wijngaarden
S
S
Universitair Medisch Centrum Utrecht, afd. Reumatologie en Klinische Immunologic, Postbus 85.500, 3508 GA Utrecht. s.wijngaarden@umcutrecht.nl
Kruize
A A
AA
D019072:Antibiotic Prophylaxis; D016470:Bacteremia / Q000517:prevention & control*; D003729:Dental Care / Q000379:methods*; D005491:Focal Infection, Dental / Q000517:prevention & control*; D006801:Humans; D016867:Immunocompromised Host; D007595:Joint Prosthesis; D016459:Prosthesis-Related Infections / Q000517:prevention & control*; D018570:Risk Assessment; D012307:Risk Factors