Antibiotic prophylaxis before dental procedures to prevent infective endocarditis: a systematic review.
Antibiotic prophylaxis prior dental procedure
Dental procedure
Endocarditis guidelines
Endocarditis prophylaxis
High-risk patients
Infective endocarditis
Journal
Infection
ISSN: 1439-0973
Titre abrégé: Infection
Pays: Germany
ID NLM: 0365307
Informations de publication
Date de publication:
Feb 2023
Feb 2023
Historique:
received:
26
05
2022
accepted:
02
08
2022
pubmed:
17
8
2022
medline:
31
1
2023
entrez:
16
8
2022
Statut:
ppublish
Résumé
Infective endocarditis (IE) is a severe bacterial infection. As a measure of prevention, the administration of antibiotic prophylaxis (AP) prior to dental procedures was recommended in the past. However, between 2007 and 2009, guidelines for IE prophylaxis changed all around the word, limiting or supporting the complete cessation of AP. It remains unclear whether AP is effective or not against IE. We conducted a systematic review whether the administration of AP in adults before any dental procedure, compared to the non-administration of such drugs, has an effect on the risk of developing IE. We searched for studies in the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE via OVID, and EMBASE. Two different authors filtered articles independently and data extraction was performed based on a pre-defined protocol. The only cohort study meeting our criteria included patients at high-risk of IE. Analysis of the extracted data showed a non-significant decrease in the risk of IE when high-risk patients take AP prior to invasive dental procedures (RR 0.39, p-value 0.11). We did not find other studies including patients at low or moderate risk of IE. Qualitative evaluation of the excluded articles reveals diversity of results and suggests that most of the state-of-the-art articles are underpowered. Evidence to support or discourage the use of AP prior to dental procedures as a prevention for IE is very low. New high-quality studies are needed, even though such studies would require big settings and might not be immediately feasible.
Identifiants
pubmed: 35972680
doi: 10.1007/s15010-022-01900-0
pii: 10.1007/s15010-022-01900-0
pmc: PMC9879842
doi:
Types de publication
Systematic Review
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
47-59Subventions
Organisme : Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
ID : 320030_184918/1
Organisme : Universität Zürich
ID : KFSP Precision Medicine for bacterial infections
Informations de copyright
© 2022. The Author(s).
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