Pautas de profilaxis antibiótica de Endocarditis Bacteriana, recomendadas por los odontólogos en España

  1. Tomás Carmona, Inmaculada 1
  2. Diz Dios, Pedro 1
  3. Limeres Posse, Jacobo 1
  4. Outumuro Rial, Mercedes 1
  5. Caamaño Durán, Flor 1
  1. 1 Unidad de Pacientes Especiales, Fac. de Med. y Odontología, Univ. de Santiago de Compostela
Revista:
Medicina oral

ISSN: 1137-2834

Ano de publicación: 2004

Volume: 9

Número: 1

Páxinas: 56-62

Tipo: Artigo

PMID: 14704618 SCOPUS: 2-s2.0-0942286896 DIALNET GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: Medicina oral

Resumo

El propósito del presente estudio fue conocer las pautas de profilaxis antibiótica de Endocarditis Bacteriana (EB) recomendadas por los odontólogos en España. Se preguntó a través de una llamada telefónica, cuál era el régimen profiláctico que se debía administrar a un paciente de riesgo de EB antes de someterse a una exodoncia. La información se obtuvo de 400 odontólogos seleccionados aleatoriamente y distribuidos por todo el territorio español. A 200 se les preguntó sobre la pauta recomendada en pacientes no alérgicos a la penicilina y, a los 200 restantes, sobre la aplicada en los alérgicos a la penicilina.Del total de encuestados, 182 (45,5%) no sugirieron ningún régimen profiláctico, de éstos el 74,7% señalaron la necesidad de una cita para una exploración previa y el 25,3% refirieron al paciente a su médico general o cardiólogo. De los 97 odontólogos que recomendaron antibióticos para pacientes no alérgicos a la penicilina, solamente 30 (30,9%) contestaron correctamente algún régimen profiláctico de los publicados por la Asociación Americana de Cardiología o la Sociedad Británica de Quimioterapia Antimicrobiana. Para pacientes alérgicos a la penicilina, el 68,2% de los odontólogos recomendaron eritromicina como antibiótico de elección, y el 17,6% clindamicina. Sin embargo, menos del 30% prescribieron estos antibióticos en las posologías correctas. Estos resultados demuestran una importante carencia de conocimientos entre los odontólogos españoles sobre las pautas de profilaxis de EB para pacientes de riesgo que van a someterse a una manipulación dental.

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Fonte de datos: Dialnet