THE IMPACT OF DENTAL INTERVENTIONS ON INFECTIVE ENDOCARDITIS RISK IN IMMUNOCOMPROMISED INDIVIDUALS; A COMPREHENSIVE REVIEW
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Keywords
Infective endocarditis, immunocompromised, dental procedures, bacteremia, antibiotic prophylaxis
Abstract
Background: There is an increased risk of developing infective endocarditis after having a dental procedure in immunocompromised individuals (e.g. cancer, HIV, or organ transplants) due to bacteremia.
Objective: The study aimed to assess the relationship between dental treatments and the risk of infective endocarditis (IE) in immunocompromised patients. it also focuses on the pathophysiology and the effect of prophylactic antibiotics.
Methodology: The data in this review is synthesized from ten studies conducted recently on the incidence of infective endocarditis after dental procedures. Patient demographics, dental procedures, antibiotic prophylaxis, and rate of bacteremia were used to examine.
Results: Maintaining good oral hygiene was vital in lowering bacteremia in immunocompromised patients while prophylactic treatment dramatically reduced the possibility of IE in high-risk patients by 60%.
Conclusion: Good oral hygiene serves as vital in the management and prevention of IE. The prophylactic use of antibiotics in high-risk patients is essential while in moderate-risk individuals is not clear.
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Dr Maryam Yasir
Internal Medicine Resident, Dubai American Hospital, UAE.
Dr Ayisha Shahila Jasmin
Gulf Medical University, Ajman, UAE
Dr Noor Yasir Aldabsa
Gulf Medical University, Ajman, UAE
Dr Mohamed Sayed Alain
Medcare Hospital UAE.
Dr Doaa Elsheikh Farah Mohamed Elhassan
Thumbay University Hospital - Ajman, UAE.
Dr Mustafa Elsheikh Farah Mohamed Elhassan
International University of Africa, Dubai, Ajman UAE
Dr Maria Mushtaq
Post Graduate Medical Institute, Lahore Pakistan.
Dr Alya Al Hamadi
University of Sharjah, UAE.
Dr Sadia Khan
Dr. Ishrat ul Ebad Khan Institute of Oral Health Sciences, DUHS, Karachi.
Dr Mohammad Alherani
Dubai Oval Dental Clinic.