Page 20 - GP Spring 2022

antibiotic prophylaxis in advance, or the Clinical Cardiology, Council on Cardiovascular nal Disease: Clinical Presentation and Out-
procedure to be performed was not planned. Surgery and Anesthesia, and the Quality of Care come. Arch Intern Med. 2004;164(1):71–75.
In these cases, it is appropriate for the pa- and Outcomes Research Interdisciplinary Work- doi:10.1001/archinte.164.1.71.
tient to take antibiotics and wait thirty min- ing Group. Circulation 2007;116(15):1736-54. 13. B. L. Strom, E. Abrutyn, J. A. Berlin et al.,
utes to start treatment. AHA guidelines 4. American Dental Association. Oral health “Risk factors for infective endocarditis: oral
topics: Antibiotic prophylaxis prior to dental
hygiene and nondental exposures,” Circulation,
also state that patients can take antibiotics procedures. American Dental Association web- vol. 102, no. 23, pp. 2842–2848, 2000.
up to two hours after the procedure and still site. September 29, 2020. Accessed July 20, 14. Sollecito TP, Abt E, Lockhart PB, True-
be adequately covered against IE. 2021. https://www.ada.org/en/ member-center/ love E, Paumier TM, Tracy SL, Tampi M,
4,5
oral-health-topics/antibiotic-stewardship. Beltrán-Aguilar ED, Frantsve-Hawley J. The
For patients who require antibiotic prophy- 5. Lockhart PB, Brennan MT, Sasser HC, Fox use of prophylactic antibiotics prior to dental
laxis for IE and are already on antibiotics PC, Paster BJ, Bahrani-Mougeot FK. Bactere- procedures in patients with prosthetic joints:
for another indication such as an infection, mia associated with toothbrushing and dental ex- Evidence-based clinical practice guideline for
a drug from another class should be used traction. Circulation. 2008;117(24):3118-3125. dental practitioners--a report of the American
for prophylactic purposes. It is inappropri- doi:10.1161/CIRCULATIONAHA.107.758524 Dental Association Council on Scientific Af-
ate to double the dose of the current anti- 6. Wilson W, Taubert KA, Gewitz M, et al. fairs. J Am Dent Assoc. 2015 Jan;146(1):11-16.
biotic or recommend the use of the same Prevention of infective endocarditis: guide- e8. doi: 10.1016/j.adaj.2014.11.012. Epub 2014
lines from the American Heart Association: a
Dec 18. PMID: 25569493.
drug for prophylaxis in these situations. guideline from the American Heart Association 15. American Academy of Orthopaedic Sur-
What is suggested, if possible, is to delay Rheumatic Fever, Endocarditis and Kawasaki geons/ American Dental Association Prevention
an elective dental procedure for at least 10 Disease Committee, Council on Cardiovascu- of Orthopaedic Implant Infection in Patients
days after completion of a short course of lar Disease in the Young, and the Council on Undergoing Dental Procedures Evidence-Based
antibiotic therapy. In patients undergoing Clinical Cardiology, Council on Cardiovascu- Clinical Practice Guideline. https://www.aaos.
multiple sequential dental appointments, if lar Surgery and Anesthesia, and the Quality of org/globalassets/quality-and-practice-resourc-
possible, it is preferable to delay the next Care and Outcomes Research Interdisciplinary es/dental/pudp_guideline.pdf Published De-
procedure for 10 days after the last dose of Working Group. J Am Dent Assoc 2008;139 cember 12, 2012. Accessed December 07, 2021.
antibiotic therapy. 1 Suppl:3S-24S. 16. Thornhill MH, Dayer M, Lockhart PB, Pren-
7. Nishimura RA, Otto CM, Bonow RO, et al. dergast B. Antibiotic prophylaxis of infective
Conclusions 2017 AHA/ACC Focused Update of the 2014 endocarditis. Curr Infect Dis Rep. 2017;19:9.
doi:10.1007/s11908-017-0564-y.
AHA/ACC Guideline for the Management of
Dentists will commonly encounter patients Patients With Valvular Heart Disease: A Report 17. Bombassaro AM, Wetmore SJ, John MA.
who require antibiotic prophylaxis in their of the American College of Cardiology/Ameri- Clostridium difficile colitis following antibiotic
practices. Therefore, it is important for us can Heart Association Task Force on Clinical prophylaxis for dental procedures. J Can Dent
to stay well-informed and educate our pa- Practice Guidelines. Circulation 2017; 135: Assoc. 2001;67:20–22.
tients as to the most recent evidence-based e1159-e1195. Accessed February 21, 2019.
recommendations and statements from the 8. Stoopler ET, Sia YW, Kuperstein AS. Do pa- Marci H. Levine, DMD,
ADA, AHA, and the AAOS. tients with solid organ transplants or breast im- MD is a Clinical As-
plants require antibiotic prophylaxis before den- sistant Professor at the
References tal treatment? J Can Dent Assoc 2012;78:c5. NYU College of Dentist-
1. https://www.cdc.gov/antibiotic-use/steward- 9. Holland B, Kohler T. Minimizing Penile Im- ry Department of Oral
ship-report/index.html. Last accessed Decem- plant Infection: A Literature Review of Patient and
ber 2021. Surgical Factors. Curr Urol Rep 2015;16(12):81. and Maxillofacial Sur-
2. Wilson WR, Gewitz M, Lockhart PB, et al. 10. Kohler T. Personal communication: Antibi- gery.
Prevention of Viridans Group Streptococcal otic prophylaxis prior to dental work for men
Infective Endocarditis: A Scientific Statement who have penile implants; 2017. Analia Veitz-Keenan,
From the American Heart Association. Circula- 11. Chaudry MS, Carlson N, Gislason GH, DDS is a Clinical Profes-
tion. 2021:Cir0000000000000969. Kamper AL, Rix M, Fowler VG Jr, Torp-Peder- sor at the NYU College
3. Wilson W, Taubert KA, Gewitz M, et al. sen C, Bruun NE. Risk of Infective Endocarditis of Dentistry Department
Prevention of infective endocarditis: guide- in Patients with End-Stage Renal Disease. Clin J Oral Maxillofacial Pa-
lines from the American Heart Association: a Am Soc Nephrol. 2017 Nov 7;12(11):1814-1822.
guideline from the American Heart Association doi: 10.2215/CJN.02320317. Epub 2017 Oct 3. thology, Radiology and
Rheumatic Fever, Endocarditis, and Kawasaki PMID: 28974524; PMCID: PMC5672968. Medicine and Epidemiol-
Disease Committee, Council on Cardiovascu- 12. Spies C, Madison JR, Schatz IJ. Infective ogy and Health Promotion and the NYAGD
lar Disease in the Young, and the Council on Endocarditis in Patients With End-stage Re- President-Elect.

www.nysagd.org l Spring 2022 l GP 20