Dental care before cardiac valve surgery: Is it important to prevent infective endocarditis?
Identifieur interne : 002330 ( Pmc/Curation ); précédent : 002329; suivant : 002331Dental care before cardiac valve surgery: Is it important to prevent infective endocarditis?
Auteurs : Alessandra Figueiredo De Souza [Brésil] ; Amanda Leal Rocha [Brésil] ; Wagner Henriques Castro [Brésil] ; Fernanda Morais Ferreira [Brésil] ; Claudio Léo Gelape [Brésil] ; Denise Vieira Travassos [Brésil] ; Tarcília Aparecida Da Silva [Brésil]Source :
- International Journal of Cardiology. Heart & Vasculature [ 2352-9067 ] ; 2016.
Abstract
Infective endocarditis (IE) is a serious disease that affects the surface of the endocardium. The spread of microorganisms from the oral cavity has been associated with the occurrence of IE.
To analyze whether dental treatment before cardiac valve surgery (CVS) influenced the occurrence of IE.
We performed a retrospective analysis of the medical and dental histories of patients undergoing CVS from 2004 to 2014. The sample consisted of 481 patients who underwent CVS divided into two groups: patients submitted to dental treatment prior to CVS (n = 110) and patients undergoing CVS without dental treatment (n = 371).
Of the total sample, 38 patients (8%) were diagnosed with IE. No significant difference was detected (p = 0.496) in comparing the occurrence of IE in the group with dental preparation (6.4%) and without dental preparation (8.4%). The logistic regression model confirmed that dental treatment did not change the IE risk (p = 0.504) and indicated that age (p < 0.003) and gender (p = 0.013) were significant risk factors for IE. There was a high demand for dental procedures in the group receiving dental preparation, with no significant differences between the patients with or without IE. Hemoculture indicated qualitative differences in comparing patients with and without dental treatment, especially in the frequency of
The results did not allow for the determination of the impact of dental treatment before CVS on IE outcomes. However, it was not possible to exclude the potential beneficial effects of dental treatment in the prevention of IE.
Url:
DOI: 10.1016/j.ijcha.2016.07.001
PubMed: 28616544
PubMed Central: 5454162
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endocarditis?</title><author><name sortKey="De Souza, Alessandra Figueiredo" sort="De Souza, Alessandra Figueiredo" uniqKey="De Souza A" first="Alessandra Figueiredo" last="De Souza">Alessandra Figueiredo De Souza</name><affiliation wicri:level="1"><nlm:aff id="af0005">Department of Community and Preventive Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais, Minas Gerais, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Community and Preventive Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais, Minas Gerais</wicri:regionArea></affiliation></author><author><name sortKey="Rocha, Amanda Leal" sort="Rocha, Amanda Leal" uniqKey="Rocha A" first="Amanda Leal" last="Rocha">Amanda Leal Rocha</name><affiliation wicri:level="1"><nlm:aff id="af0010">Department of Oral Surgery and Pathology, Faculty of Dentistry, Universidade Federal de Minas Gerais, Minas Gerais, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Oral Surgery and Pathology, Faculty of Dentistry, Universidade Federal de Minas Gerais, Minas Gerais</wicri:regionArea></affiliation></author><author><name sortKey="Castro, Wagner Henriques" sort="Castro, Wagner Henriques" uniqKey="Castro W" first="Wagner Henriques" last="Castro">Wagner Henriques Castro</name><affiliation wicri:level="1"><nlm:aff id="af0010">Department of Oral Surgery and Pathology, Faculty of Dentistry, Universidade Federal de Minas Gerais, Minas Gerais, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Oral Surgery and Pathology, Faculty of Dentistry, Universidade Federal de Minas Gerais, Minas Gerais</wicri:regionArea></affiliation></author><author><name sortKey="Ferreira, Fernanda Morais" sort="Ferreira, Fernanda Morais" uniqKey="Ferreira F" first="Fernanda Morais" last="Ferreira">Fernanda Morais Ferreira</name><affiliation wicri:level="1"><nlm:aff id="af0015">Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidade Federal de Minas Gerais, Minas Gerais, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidade Federal de Minas Gerais, Minas Gerais</wicri:regionArea></affiliation></author><author><name sortKey="Gelape, Claudio Leo" sort="Gelape, Claudio Leo" uniqKey="Gelape C" first="Claudio Léo" last="Gelape">Claudio Léo Gelape</name><affiliation wicri:level="1"><nlm:aff id="af0020">Department of Surgery, Faculty of Medicine, Universidade Federal de Minas Gerais, Minas Gerais, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Surgery, Faculty of Medicine, Universidade Federal de Minas Gerais, Minas Gerais</wicri:regionArea></affiliation></author><author><name sortKey="Travassos, Denise Vieira" sort="Travassos, Denise Vieira" uniqKey="Travassos D" first="Denise Vieira" last="Travassos">Denise Vieira Travassos</name><affiliation wicri:level="1"><nlm:aff id="af0005">Department of Community and Preventive Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais, Minas Gerais, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Community and Preventive Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais, Minas Gerais</wicri:regionArea></affiliation></author><author><name sortKey="Da Silva, Tarcilia Aparecida" sort="Da Silva, Tarcilia Aparecida" uniqKey="Da Silva T" first="Tarcília Aparecida" last="Da Silva">Tarcília Aparecida Da Silva</name><affiliation wicri:level="1"><nlm:aff id="af0010">Department of Oral Surgery and Pathology, Faculty of Dentistry, Universidade Federal de Minas Gerais, Minas Gerais, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Oral Surgery and Pathology, Faculty of Dentistry, Universidade Federal de Minas Gerais, Minas Gerais</wicri:regionArea></affiliation></author></analytic><series><title level="j">International Journal of Cardiology. Heart & Vasculature</title><idno type="eISSN">2352-9067</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Infective endocarditis (IE) is a serious disease that affects the surface of the endocardium. The spread of microorganisms from the oral cavity has been associated with the occurrence of IE.</p></sec><sec><title>Objective</title><p>To analyze whether dental treatment before cardiac valve surgery (CVS) influenced the occurrence of IE.</p></sec><sec><title>Methods</title><p>We performed a retrospective analysis of the medical and dental histories of patients undergoing CVS from 2004 to 2014. The sample consisted of 481 patients who underwent CVS divided into two groups: patients submitted to dental treatment prior to CVS (n = 110) and patients undergoing CVS without dental treatment (n = 371).</p></sec><sec><title>Results</title><p>Of the total sample, 38 patients (8%) were diagnosed with IE. No significant difference was detected (p = 0.496) in comparing the occurrence of IE in the group with dental preparation (6.4%) and without dental preparation (8.4%). The logistic regression model confirmed that dental treatment did not change the IE risk (p = 0.504) and indicated that age (p < 0.003) and gender (p = 0.013) were significant risk factors for IE. There was a high demand for dental procedures in the group receiving dental preparation, with no significant differences between the patients with or without IE. Hemoculture indicated qualitative differences in comparing patients with and without dental treatment, especially in the frequency of <italic>Staphylococcus</italic> and <italic>Streptococcus</italic>.</p></sec><sec><title>Conclusions</title><p>The results did not allow for the determination of the impact of dental treatment before CVS on IE outcomes. However, it was not possible to exclude the potential beneficial effects of dental treatment in the prevention of IE.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Cardiol Heart Vasc</journal-id><journal-id journal-id-type="iso-abbrev">Int J Cardiol Heart Vasc</journal-id><journal-title-group><journal-title>International Journal of Cardiology. Heart & Vasculature</journal-title></journal-title-group><issn pub-type="epub">2352-9067</issn><publisher><publisher-name>Elsevier</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28616544</article-id><article-id pub-id-type="pmc">5454162</article-id><article-id pub-id-type="publisher-id">S2352-9067(16)30041-0</article-id><article-id pub-id-type="doi">10.1016/j.ijcha.2016.07.001</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Dental care before cardiac valve surgery: Is it important to prevent infective endocarditis?</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>de Souza</surname><given-names>Alessandra Figueiredo</given-names></name><xref rid="af0005" ref-type="aff">a</xref></contrib><contrib contrib-type="author"><name><surname>Rocha</surname><given-names>Amanda Leal</given-names></name><xref rid="af0010" ref-type="aff">b</xref></contrib><contrib contrib-type="author"><name><surname>Castro</surname><given-names>Wagner Henriques</given-names></name><xref rid="af0010" ref-type="aff">b</xref></contrib><contrib contrib-type="author"><name><surname>Ferreira</surname><given-names>Fernanda Morais</given-names></name><xref rid="af0015" ref-type="aff">c</xref></contrib><contrib contrib-type="author"><name><surname>Gelape</surname><given-names>Claudio Léo</given-names></name><xref rid="af0020" ref-type="aff">d</xref></contrib><contrib contrib-type="author"><name><surname>Travassos</surname><given-names>Denise Vieira</given-names></name><xref rid="af0005" ref-type="aff">a</xref></contrib><contrib contrib-type="author"><name><surname>da Silva</surname><given-names>Tarcília Aparecida</given-names></name><email>silva.tarcilia@gmail.com</email><xref rid="af0010" ref-type="aff">b</xref><xref rid="cr0005" ref-type="corresp">⁎</xref></contrib></contrib-group><aff id="af0005"><label>a</label>Department of Community and Preventive Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais, Minas Gerais, Brazil</aff><aff id="af0010"><label>b</label>Department of Oral Surgery and Pathology, Faculty of Dentistry, Universidade Federal de Minas Gerais, Minas Gerais, Brazil</aff><aff id="af0015"><label>c</label>Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidade Federal de Minas Gerais, Minas Gerais, Brazil</aff><aff id="af0020"><label>d</label>Department of Surgery, Faculty of Medicine, Universidade Federal de Minas Gerais, Minas Gerais, Brazil</aff><author-notes><corresp id="cr0005"><label>⁎</label>Corresponding author. <email>silva.tarcilia@gmail.com</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>07</day><month>7</month><year>2016</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="collection"><month>9</month><year>2016</year></pub-date><pub-date pub-type="epub"><day>07</day><month>7</month><year>2016</year></pub-date><volume>12</volume><fpage>57</fpage><lpage>62</lpage><history><date date-type="received"><day>4</day><month>1</month><year>2016</year></date><date date-type="rev-recd"><day>27</day><month>5</month><year>2016</year></date><date date-type="accepted"><day>3</day><month>7</month><year>2016</year></date></history><permissions><copyright-statement>© 2016 The Authors</copyright-statement><copyright-year>2016</copyright-year><license license-type="CC BY-NC-ND" xlink:href="http://creativecommons.org/licenses/by-nc-nd/4.0/"><license-p>This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).</license-p></license></permissions><abstract id="ab0005"><sec><title>Background</title><p>Infective endocarditis (IE) is a serious disease that affects the surface of the endocardium. The spread of microorganisms from the oral cavity has been associated with the occurrence of IE.</p></sec><sec><title>Objective</title><p>To analyze whether dental treatment before cardiac valve surgery (CVS) influenced the occurrence of IE.</p></sec><sec><title>Methods</title><p>We performed a retrospective analysis of the medical and dental histories of patients undergoing CVS from 2004 to 2014. The sample consisted of 481 patients who underwent CVS divided into two groups: patients submitted to dental treatment prior to CVS (n = 110) and patients undergoing CVS without dental treatment (n = 371).</p></sec><sec><title>Results</title><p>Of the total sample, 38 patients (8%) were diagnosed with IE. No significant difference was detected (p = 0.496) in comparing the occurrence of IE in the group with dental preparation (6.4%) and without dental preparation (8.4%). The logistic regression model confirmed that dental treatment did not change the IE risk (p = 0.504) and indicated that age (p < 0.003) and gender (p = 0.013) were significant risk factors for IE. There was a high demand for dental procedures in the group receiving dental preparation, with no significant differences between the patients with or without IE. Hemoculture indicated qualitative differences in comparing patients with and without dental treatment, especially in the frequency of <italic>Staphylococcus</italic> and <italic>Streptococcus</italic>.</p></sec><sec><title>Conclusions</title><p>The results did not allow for the determination of the impact of dental treatment before CVS on IE outcomes. However, it was not possible to exclude the potential beneficial effects of dental treatment in the prevention of IE.</p></sec></abstract><kwd-group id="ks0005"><title>Keywords</title><kwd>Endocarditis</kwd><kwd>Bacteremia</kwd><kwd>Antibiotic prophylaxis</kwd><kwd>Dental care</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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