13只未使用抗生素进行口腔手术的狗出现菌血症。

IF 0.7 4区 农林科学 Q3 VETERINARY SCIENCES Journal of Veterinary Dentistry Pub Date : 2024-07-01 Epub Date: 2023-11-23 DOI:10.1177/08987564231207208
Melissa Blazevich, Chanda Miles
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引用次数: 0

摘要

本研究旨在评估暂时性菌血症是否由牙齿刮治、牙根平整(SRP)和拔牙引起,细菌是否来源于口腔菌群,以及在健康犬患者中产生的菌血症数量是否需要术前、术中或术后使用抗生素治疗。对13只患有慢性牙周病,需要拔除一颗或多颗牙齿的健康犬进行血培养。纳入的患者在预定手术前至少2周未接受任何抗生素治疗,术中或术后未接受抗生素治疗。在特定的时间增量进行采血,以确定菌血症的存在以及是否在手术后清除菌血症。研究发现,在整个牙科手术过程中,短暂的菌血症在不同的时间增量中发展。在最后一次采集样本时,在任何血液培养中都没有明显的细菌生长。血液培养的结果表明,13只狗中只有4只在任何一个时间增量上有细菌生长的证据;然而,在最后的收集中,没有细菌生长表明在没有使用全身抗菌治疗的情况下,短暂菌血症已经清除。研究结果表明,对于严重的牙周病,在其他方面健康的患者中,由于SRP和拔牙而产生短暂菌血症的发作,不应全身性使用抗生素。
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The Presence of Bacteremia in 13 Dogs Undergoing Oral Surgery Without the Use of Antibiotic Therapy.

This study aimed to assess if transient bacteremia developed from dental scaling, root planing (SRP) and dental extraction(s), if the bacteria originated from oral flora, and if the amount of bacteremia produced would warrant the use of pre-, intra-, or post-operative antibiotic therapy in healthy canine patients. Blood cultures were obtained from 13 healthy dogs with chronic periodontal disease that necessitated the extraction of one tooth or multiple teeth. Patients included did not receive any antibiotic therapy for a minimum of 2 weeks prior to their scheduled procedure and did not receive antibiotic therapy intra- or post-operatively. Blood collection occurred at specific time increments to determine the presence of bacteremia and if clearance of the bacteremia occurred post-procedure. The study found transient bacteremia developed at different time increments throughout the dental procedure. At the time of the final sample collection, no bacterial growth was evident in any of the blood cultures. Results of the blood cultures indicated that only four of 13 dogs had evidence of bacterial growth at any one of the time increments; however, by the final collection, there was no bacterial growth suggesting the transient bacteremia had cleared without the use of systemic antimicrobial therapy. The study findings indicate that systemic antibiotic usage is not warranted for severe periodontal disease where an episode of transient bacteremia is produced from SRP and dental extractions in an otherwise healthy patient.

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来源期刊
Journal of Veterinary Dentistry
Journal of Veterinary Dentistry VETERINARY SCIENCES-
CiteScore
1.00
自引率
10.00%
发文量
59
期刊介绍: The Journal of Veterinary Dentistry (JOVD) is the official peer-reviewed publication of the Foundation for Veterinary Dentistry. The JOVD provides a continuing education forum for veterinary dental scientists, veterinarians, dentists, and veterinary/dental technicians and hygienists who are engaged in veterinary dental practice. JOVD articles provide practical and scientifically sound information covering not only the medical and surgical aspects, but also specific categories as they relate to clinical practice.
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