Publication date: Available online 11 January 2018
Source:Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Author(s): Saad Usmani, Linda Choquette, Robert Bona, Richard Feinn, Zainab Shahid, Rajesh V. Lalla
ObjectiveTo determine incidence of bacteremia from a dental cleaning, and subsequent established blood stream infection (BSI) caused by oral microorganisms, in cancer patients with central venous catheters (CVC).Study DesignTwenty-six cancer patients with CVCs, and absolute neutrophil count (ANC) over 1000 cells/µl, received dental cleaning without antibiotic prophylaxis. Periodontal status was assessed at baseline using Periodontal Screening and Recording (PSR) score. Blood cultures were drawn via CVC at baseline, 20 minutes into cleaning, and 30 minutes and 24 hours after cleaning. Medical records were monitored for 6 months.ResultsBaseline blood cultures were negative in 25 subjects. Nine of 25 subjects (36%) had positive blood culture 20 minutes into cleaning, all associated with at least 1 microorganism typically found in the mouth. These 9 subjects had significantly higher mean PSR score (3.22) compared to the other 16 (2.56; p=0.035). These expected bacteremias did not persist with no positive blood cultures (0/25) at 30 minutes and 24 hours after cleaning (p = 0.001). There were no cases of CVC infection or BSI attributable to dental cleaning.ConclusionsBacteremias following a dental cleaning are transient and unlikely to cause CVC infection or BSI in patients with ANC over 1000 cells/µl.
from Imaging via alkiviadis.1961 on Inoreader http://ift.tt/2B36fcU
Δευτέρα 15 Ιανουαρίου 2018
Transient bacteremia induced by dental cleaning is not associated with infection of central venous catheters in patients with cancer
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
Δημοφιλείς αναρτήσεις
-
Abstract Purpose Overcoming the flaws of current data management conditions in head and neck oncology could enable integrated informatio...
-
1 abqls-210rm.html Read the latest Journal of Clinical Neurophysiology - Vol. 37, No. 1, January 2020.eml 2 agx3v-nxz96.html Read the late...
-
Cone-beam CT (CBCT) is a widely used intra-operative imaging modality in image-guided radiotherapy and surgery. A short scan followed by a f...
-
by Yanwei Li, Haifeng Liu, Wei Zeng, Jing Wei An increase in the osmolarity of tears induced by excessive evaporation of the aqueous tear p...
-
Inhibition of epidermal growth factor receptor (EGFR) and anaplastic lymphoma kinase (ALK) signaling is highly effective in a subgroup of no...
-
Targeted sequencing-based analyses of candidate gene variants in ulcerative colitis-associated colorectal neoplasia British Journal of Canc...
-
http://ift.tt/2p41efZ
-
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου