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6/2018
vol. 71 abstract:
Guidelines/recommendations
Polish Dental Association And National Programme To Protect Antibiotics Working Group recommendations for administration of antibiotics in dentistry
Tomasz Kaczmarzyk
1, 2
,
Karolina Babiuch
2
,
Elżbieta Bołtacz-Rzepkowska
3
,
Marzena Dominiak
4
,
Tomasz Konopka
5
,
Mariusz Lipski
6
,
Dorota Olczak-Kowalczyk
7
,
Adam Szeląg
8
,
Mariusz Szuta
9
,
Waleria Hryniewicz
10
1.
Department of Oral Surgery, Medical College, Jagiellonian University, Krakow, Poland
2.
Chair of Periodontics and Clinical Oral Pathology, Jagiellonian University, Krakow, Poland
3.
Department of Conservative Dentistry, Medical University of Łódź, Poland
4.
Chair of Oral Surgery, Medical University of Wrocław, Poland
5.
Chair of Periodontics, Medical University of Wrocław, Poland
6.
Chair of Preclinical Conservative Dentistry and Preclinical Endodontics, Pomeranian Medical University, Poland
7.
Chair of Paedodontics, Medical University of Warsaw, Poland
8.
Chair of Pharmacology, Medical University of Wrocław, Poland
9.
Chair of Cranio-maxillofacial, Oncological and Reconstructive Surgery, Medical College, Jagiellonian University, Krakow, Poland
10.
Department of Epidemiology and Clinical Microbiology, National Institute of Medicines, Poland
J Stoma 2018; 71, 6: 457-465
Online publish date: 2019/06/06
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RECOMMENDATIONS FOR ANTIBIOTIC PROPHYLAXIS AGAINST SURGICAL SITE INFECTIONSGENERAL RECOMMENDATIONS FOR ANTIBIOTIC PROPHYLAXIS AGAINST SURGICAL SITE INFECTIONS IN ORAL AND MAXILLOFACIAL SURGERYMaintaining proper oral hygiene and using aseptic and antiseptic techniques are of paramount importance for prevention of oral and maxillofacial infections. Routine administration of antibiotic prophylaxis in immunocompetent patients is not recommended; the decision of administration of antibiotic prophylaxis should be very prudent. Antibiotic prophylaxis is recommended in immunocompromised patients, in consultation with the attending physician. Antibiotic prophylaxis should be administered 30-60 minutes before commencement of surgery. For prophylaxis, it is recommended to administer only one dose of an antibiotic (one-shot prophylaxis) and no further doses after completion of surgery should be administered, with the exceptions presented in certain detailed recommendations (ultra-short, short-term and long-term prophylaxis). Unless otherwise specified in the detailed recommendation, for antibiotic prophylaxis in dentistry amoxi-cillin without clavulanic acid in a single dose of 2000 mg is recommended; patients allergic to penicillins should be given cefazolin in a single dose of 1000 mg or clindamycin in a single dose of 600 mg. Unless otherwise specified in the detailed recommendation, for antibiotic prophylaxis in pediatric patients amoxicillin without clavulanic acid in a single dose of 50 mg/kg is recommended; patients allergic to penicillins should be given cefazolin2 in a single dose of 50 mg/kg or clindamycin in a single dose of 20 mg/kg. SPECIFIC RECOMMENDATION FOR ANTIBIOTIC PROPHYLAXIS AGAINST SURGICAL SITE INFECTIONS IN THIRD MOLAR SURGERYRoutine administration of antibiotic prophylaxis in third molar surgery in immunocompetent patients is not recommended; antibiotic prophylaxis should be considered in immunocompromised patients in consultation with the attending physician or whenever it is necessary to perform surgery in the course of acute pericoronitis.SPECIFIC RECOMMENDATION FOR ANTIBIOTIC PROPHYLAXIS AGAINST SURGICAL SITE INFECTIONS IN IMPLANT SURGERYRoutine administration of antibiotic prophylaxis in implant surgery in immunocompetent patients is not recommended; antibiotic prophylaxis should be considered in immunocompromised patients in consultation with the...View full text... |
