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Guidelines para profilaxia da endocardite bacteriana na cirurgia oral: revisão narrativa
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| 37922 | 860.13 KB | Adobe PDF |
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Abstract(s)
A endocardite bacteriana é a infeção de uma ou mais válvulas cardíacas, nativas ou protéticas, mais raramente do endocárdio parietal, por um microrganismo, na maioria das vezes bactérias, germes intracelulares ou leveduras. A incidência desta patologia permanece muito alta, apesar do progresso científico e médico. Na tentativa de prevenir a endocardite pode ser aplicada profilaxia em diversos procedimentos
Cabe ao Médico Dentista a busca incessante de conhecimentos, bom senso e atenção na utilização deste grupo terapêutico em cirurgia oral. Exigindo-se uma conduta racional e fundamentada, com consciência dos procedimentos de risco executados, pois o seu uso incorreto pode ter repercussões graves a nível pessoal e social, como é o caso do aparecimento de resistência bacteriana.
Por estes motivos de interesse, foi desenvolvida uma pesquisa integrativa da literatura, com recurso à base de dados PubMed. Esta pesquisa foi submetida a critérios de inclusão e exclusão, em que apenas foram incluídos estudos que abordavam tanto a endocardite como as situações de utilização da profilaxia nos cuidados dentários. Os artigos foram selecionados primeiramente pelos títulos, seguidamente pela leitura dos abstracts e, finalmente, do artigo integralmente. Destes, foram selecionados 79 artigos, por serem os mais relacionados com o tema.
Verifica-se que as atuais guidelines para prevenir a endocardite são mais simples e objetivas das inicialmente propostas. No entanto, parece que o objetivo seja mesmo reduzir ou eliminar o uso da profilaxia nos procedimentos dentários.
The bacterial endocarditis is the infection of one or more heart valves, native or prosthetic, more rarely of the parietal endocardium, by a microorganism, most often bacteria, intracellular germs or yeasts. The incidence of this pathology remains very high, despite scientific and medical progress. In an attempt to prevent endocarditis, prophylaxis can be applied in several procedures. It is up to the dentist the incessant search for knowledge and common sense and attention in the use of this therapeutic group in oral surgery, in a rational and reasoned conduct, and with awareness of the risk procedures that he performs, because its incorrect use can have serious repercussions at a personal and social level, as is the case of the appearance of bacterial resistance. For this, an integrative literature search was developed, using the PubMed database. This research was submitted to inclusion and exclusion criteria, in which only studies that addressed both endocarditis and the situations of use of prophylaxis in dental care were included. The articles were selected first by their titles, then by reading the abstracts and, finally, by the full article. Of these, 79 articles were selected because they are the most related to the theme. It is verified that the current guidelines to prevent endocarditis are simpler and more objective than initially proposed. However, it seems that the goal is to reduce or eliminate the use of prophylaxis in dental procedures.
The bacterial endocarditis is the infection of one or more heart valves, native or prosthetic, more rarely of the parietal endocardium, by a microorganism, most often bacteria, intracellular germs or yeasts. The incidence of this pathology remains very high, despite scientific and medical progress. In an attempt to prevent endocarditis, prophylaxis can be applied in several procedures. It is up to the dentist the incessant search for knowledge and common sense and attention in the use of this therapeutic group in oral surgery, in a rational and reasoned conduct, and with awareness of the risk procedures that he performs, because its incorrect use can have serious repercussions at a personal and social level, as is the case of the appearance of bacterial resistance. For this, an integrative literature search was developed, using the PubMed database. This research was submitted to inclusion and exclusion criteria, in which only studies that addressed both endocarditis and the situations of use of prophylaxis in dental care were included. The articles were selected first by their titles, then by reading the abstracts and, finally, by the full article. Of these, 79 articles were selected because they are the most related to the theme. It is verified that the current guidelines to prevent endocarditis are simpler and more objective than initially proposed. However, it seems that the goal is to reduce or eliminate the use of prophylaxis in dental procedures.
Description
Keywords
Endocardite bacteriana Profilaxia Medidas preventivas Bacteriemia Antibioprofilaxia Cirurgia oral Guidelines Bacterial endocarditis Prophylaxis Preventive measures Bacteremia Antibioprophylaxis Oral surgery Guidelines