scholarly journals Controversies Surrounding Infective Endocarditis Prophylaxis Prior to Dental Procedures

2014 ◽  
Vol 1 (1) ◽  
pp. 16
Author(s):  
Kanika Sabhlok ◽  
Shalini Singh ◽  
Rohini Bonthala
Keyword(s):  
Infective Endocarditis ◽  
Prophylactic Treatment ◽  
Difficult Situation ◽  
Treatment Regimens ◽  
Endocarditis Prophylaxis ◽  
Health Authorities ◽  
Dental Procedures ◽  
Dental Practitioners ◽  
The World ◽  
Long Time

The guiding principles for the prevention of Infective Endocarditis (IE) following dental procedures have been a debatable topic for a long time now. Evidently this has led to numerous amounts of research and consequently dental practitioners from across the world follow different prophylactic treatment regimens. At present, there are a few regimens that various health authorities have endorsed in their respective countries. There is a lack of substantial data in order to determine which regimen is better over the other, and unfortunately, that places the practitioner in a difficult situation to decide the best for his patient.

scholarly journals Atendimento odontológico em tempos de COVID-19: compartilhando boas práticas protetivas e de biossegurança

2020 ◽  
Vol 11 (1) ◽  
pp. 73
Author(s):  
Daniela Costa Moraes ◽  
Daniela Cristina Diniz Ferreira Galvão ◽  
Neiana Carolina Rios Ribeiro ◽  
Lisia Mariana Silva de Oliveira ◽  
Maria Cecília Fonsêca Azoubel ◽  
...  
Keyword(s):  
Dental Students ◽  
Protective Equipment ◽  
Oral Fluids ◽  
Patient Screening ◽  
Professional Category ◽  
Health Authorities ◽  
Dental Procedures ◽  
The World ◽  
Mucous Membranes ◽  
Dental Work

INTRODUCTION: During the COVID-19 pandemic, dentists were classified as a high-risk professional category for SARS-Cov2 infection and transmission, due to the proximity of the patient's face as well as the frequent performance of aerosol-generating procedures. Transmission of this pathogen during dental procedures can occur by inhaling aerosols/droplets from infected individuals or by direct contact with mucous membranes, oral fluids or contaminated instruments and surfaces. Aware of the risks inherent to the exercise of this profession and facing the world scenario, several recommendations have been suggested for dental surgeons and dental students in patient care. Although biosafety is already part of the dentist's routine, the pandemic context presupposes the need to revisit the guiding principles of this practice and to know the particularities imposed by a hitherto unknown virus. OBJECTIVE: This work aims to propose and discuss measures to deal with the spread of SARS-Cov2 in the dental environment, emphasizing the necessary care for the protection of professionals and patients, in the context of Dentistry in Brazil. METHODS: To this end, a compilation of measures and recommendations was made based on the main technical documents published in recent months by the health authorities. RESULTS: The main recommendations include patient screening, social distance, adjustments to personal protective equipment (PPE) and the use of appropriate disinfection products and techniques. CONCLUSION: This work presented, in an objective and practical way, essential measures for dental work during the COVID-19 pandemic, highlighting the probable permanence of these actions and the importance of adopting rigid, adequate and feasible measures.

scholarly journals Assessment of Knowledge of Dental Staff at a Saudi Arabian University Regarding the Prophylaxis for Infective Endocarditis

2013 ◽  
Vol 7 (1) ◽  
pp. 82-87 ◽  
Author(s):  
Ahmed Bhayat ◽  
Fadi Jarab ◽  
Samir Mansuri ◽  
Mohammad Sami Ahmad ◽  
Mohamed Saad Mahrous
Keyword(s):  
Infective Endocarditis ◽  
Heart Association ◽  
Cross Sectional ◽  
Staff Members ◽  
Drug Of Choice ◽  
Dental Procedures ◽  
Dental Practitioners ◽  
Dental Staff ◽  
Almost All ◽  
Self Administered Questionnaire

The use of prophylactic antibiotics for the prevention of infective endocarditis following dental procedures has long been debated and there is still confusion regarding its efficacy. As a result, the prophylactic treatment varies considerably amongst different countries across the world and amongst different dental practitioners.Aim:To evaluate the knowledge of dental staff regarding the guidelines for the prevention of infective endocarditis.Methods:This was a cross sectional analytical study which included all staff members. A self administered questionnaire was used and responses were “graded” according to the American Heart Association (AHA) guidelines.Results:The response rate was 87% (N=39) and 97% reported to use the AHA guidelines; 66% reported their knowledge was based on previous training and scientific journals. Of those cardiac conditions and dental procedures which required prophylaxis; 47% and 65% chose the correct option, respectively. Penicillin was prescribed as the drug of choice by the majority of respondents.Conclusions:Although almost all staff reported the use of the AHA guidelines, many were not following them. The study emphasizes the need for continuous education and evaluation of this critical aspect of dentistry.

scholarly journals Endocarditis following IUD insertion in a patient with tetralogy of Fallot

2019 ◽  
Vol 12 (2) ◽  
pp. bcr-2018-227962 ◽  
Author(s):  
Eric Allan Meyerowitz ◽  
Sarah Prager ◽  
Karen Stout ◽  
Alison Roxby
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Infective Endocarditis ◽  
Congenital Heart ◽  
Intrauterine Device ◽  
Complex Congenital Heart Disease ◽  
Endocarditis Prophylaxis ◽  
First Case ◽  
Dental Procedures

The role of antibiotic prophylaxis for prevention of infective endocarditis is unknown. Endocarditis prophylaxis is recommended for certain high-risk individuals prior to dental procedures. To our knowledge, this is the first case reported in the literature of a patient with complex congenital heart disease developing endocarditis in the period immediately following otherwise uncomplicated intrauterine device insertion.

Infective Endocarditis Prophylaxis

2012 ◽  
Author(s):  
John W. Wilson ◽  
Lynn L. Estes
Keyword(s):  
Infective Endocarditis ◽  
American Heart Association ◽  
American Heart ◽  
Heart Association ◽  
Endocarditis Prophylaxis ◽  
Major Revision ◽  
Dental Procedures

The guidelines for the prevention of infective endocarditis (IE) issued by the American Heart Association underwent a major revision in 2007. Key changes include the following: • Dental procedures have been found to be associated with a small number of cases of IE. Thus, even if prophylaxis was 100% effective, it would prevent only an extremely small number of cases....

scholarly journals Infective Endocarditis: Updated Guidelines

2010 ◽  
Vol 21 (2) ◽  
pp. 74-77 ◽  
Author(s):  
U Allen
Keyword(s):  
Infective Endocarditis ◽  
Daily Living ◽  
American Heart ◽  
Heart Association ◽  
Current Data ◽  
Adverse Outcomes ◽  
Target Groups ◽  
Endocarditis Prophylaxis ◽  
Dental Procedures ◽  
Hygiene Measures

The most recent revision of the American Heart Association guidelines on infective endocarditis prophylaxis occurred in 2007. These revisions were based on the fact that current data have brought into question the benefit of previous recommendations for infective endocarditis prophylaxis. It was noted that the bacteremia that occurs following dental procedures represents only a fraction of the episodes of bacteremia that occur with activities of daily living (such as chewing, brushing teeth and other oral hygiene measures). The target groups and the procedures for which prophylaxis is reasonable have been significantly reduced in number. The focus is now on patients who are most likely to have adverse outcomes from infectious endocarditis. The present article is targeted at practicing Canadian physicians and provides the rationale for the current recommendations. In addition to a summary of the indications for prophylaxis, information is provided on the conditions for which prophylaxis is not recommended.

Inter-country inequality as a dynamic process and the problem of post-industrial development

2018 ◽  
pp. 5-29 ◽  
Author(s):  
L. M. Grigoryev ◽  
V. A. Pavlyushina
Keyword(s):  
Economic Growth ◽  
Political Institutions ◽  
Industrial Development ◽  
Modern World ◽  
New Approach ◽  
Development Level ◽  
The World ◽  
Long Time ◽  
The Difference ◽  
Post Industrial

The phenomenon of economic growth is studied by economists and statisticians in various aspects for a long time. Economic theory is devoted to assessing factors of growth in the tradition of R. Solow, R. Barrow, W. Easterly and others. During the last quarter of the century, however, the institutionalists, namely D. North, D. Wallis, B. Weingast as well as D. Acemoglu and J. Robinson, have shown the complexity of the problem of development on the part of socioeconomic and political institutions. As a result, solving the problem of how economic growth affects inequality between countries has proved extremely difficult. The modern world is very diverse in terms of development level, and the article offers a new approach to the formation of the idea of stylized facts using cluster analysis. The existing statistics allows to estimate on a unified basis the level of GDP production by 174 countries of the world for 1992—2016. The article presents a structured picture of the world: the distribution of countries in seven clusters, different in levels of development. During the period under review, there was a strong per capita GDP growth in PPP in the middle of the distribution, poverty in various countries declined markedly. At the same time, in 1992—2016, the difference increased not only between rich and poor groups of countries, but also between clusters.

TO THE QUESTION OF RESPONSIBILITY FOR TORTURE IN THE RUSSIAN FEDERATION

2020 ◽  
Vol 10 (2) ◽  
pp. 103-106
Author(s):  
ASTEMIR ZHURTOV ◽  
Keyword(s):  
Human Rights ◽  
Russian Federation ◽  
Large Scale ◽  
Human Life ◽  
International Standards ◽  
World Community ◽  
The World ◽  
Long Time ◽  
Protection Of Human Rights ◽  
The Russian Federation

Cruel and inhumane acts that harm human life and health, as well as humiliate the dignity, are prohibited in most countries of the world, and Russia is no exception in this issue. The article presents an analysis of the institution of responsibility for torture in the Russian Federation. The author comes to the conclusion that the current criminal law of Russia superficially and fragmentally regulates liability for torture, in connection with which the author formulated the proposals to define such act as an independent crime. In the frame of modern globalization, the world community pays special attention to the protection of human rights, in connection with which large-scale international standards have been created a long time ago. The Universal Declaration of Human Rights and other international acts enshrine prohibitions of cruel and inhumane acts that harm human life and health, as well as degrade the dignity.Considering the historical experience of the past, these standards focus on the prohibition of any kind of torture, regardless of the purpose of their implementation.

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