Farah K Bahrani Mougeot1, Sabrina E Saunders2, Michael T Brennan3, Peter B Lockhart4. 1. Director of Oral Medicine Laboratory, Department of Oral Medicine, Carolinas Medical Center, Charlotte, NC, USA. 2. Cannon Research Summer Scholar, Department of Oral Medicine, Carolinas Medical Center, Charlotte, NC, USA. 3. Chairman, Department of Oral Medicine, Carolinas Medical Center, Charlotte, NC, USA. 4. Professor, Department of Oral Medicine, Carolinas Medical Center, Charlotte, NC, USA. Electronic address: Peter.lockhart@carolinashealthcare.org.
Abstract
OBJECTIVES: To determine the impact of antibiotic prophylaxis (AP) on the incidence of bacteremia caused by oral bacterial species associated with infective endocarditis (IE) and prosthetic joint infections (PJIs) and to compare the incidence of following tooth brushing versus single tooth extraction. STUDY DESIGN: Bacterial species in blood following single tooth extraction, with or without AP, and tooth brushing(1) were compared with IE- and PJI-associated bacteria reported in the literature. RESULTS: Of the 98 bacterial species identified in blood following single tooth extraction and tooth brushing, 32(1) and 12 were species were associated with IE and PJI, respectively. AP decreased the frequency of IE- and PJI-causing oral bacterial species in blood; however, single tooth extraction versus brushing resulted in bacteremia with IE- and PJI-causing species with similar frequencies: 65% versus 56% for IE, and 31% versus 28% for PJI. CONCLUSIONS: Although AP significantly decreased the incidence of bacteremia, the similarity between the incidence of bacteremia following brushing and extraction undermines AP as an effective strategy for the prevention of these distant-site infections.
RCT Entities:
OBJECTIVES: To determine the impact of antibiotic prophylaxis (AP) on the incidence of bacteremia caused by oral bacterial species associated with infective endocarditis (IE) and prosthetic joint infections (PJIs) and to compare the incidence of following tooth brushing versus single tooth extraction. STUDY DESIGN: Bacterial species in blood following single tooth extraction, with or without AP, and tooth brushing(1) were compared with IE- and PJI-associated bacteria reported in the literature. RESULTS: Of the 98 bacterial species identified in blood following single tooth extraction and tooth brushing, 32(1) and 12 were species were associated with IE and PJI, respectively. AP decreased the frequency of IE- and PJI-causing oral bacterial species in blood; however, single tooth extraction versus brushing resulted in bacteremia with IE- and PJI-causing species with similar frequencies: 65% versus 56% for IE, and 31% versus 28% for PJI. CONCLUSIONS: Although AP significantly decreased the incidence of bacteremia, the similarity between the incidence of bacteremia following brushing and extraction undermines AP as an effective strategy for the prevention of these distant-site infections.
Authors: Saad Usmani; Linda Choquette; Robert Bona; Richard Feinn; Zainab Shahid; Rajesh V Lalla Journal: Oral Surg Oral Med Oral Pathol Oral Radiol Date: 2018-01-11
Authors: Joseph R Young; Annika L Bannon; Afshin A Anoushiravani; Andrew D Posner; Curtis T Adams; Matthew R DiCaprio Journal: J Orthop Date: 2021-02-20
Authors: Jean-Luc C Mougeot; Craig B Stevens; Sean L Cotton; Darla S Morton; Keerthana Krishnan; Michael T Brennan; Peter B Lockhart; Bruce J Paster; Farah K Bahrani Mougeot Journal: J Oral Microbiol Date: 2016-04-08 Impact factor: 5.474