风险患者感染性内心炎的预防:牙医在2024年应该如何进行?
Martin Thornhill1, Bernard Prendergast2, Mark Dayer3
1Professor of Translational Research in Dentistry, Unit of Oral and Maxillofacial Medicine, Surgery and Pathology, School of Clinical Dentistry, University of Sheffield, Sheffield, UK. M.Thornhill@Sheffield.ac.uk.
在侵入性牙科手术 (IDP) 期间预防传染性内心炎 (IE) 的抗生素预防 (AP) 准则尚不清楚. 这篇文章澄清了IE风险和AP有效性,用于患者知情同意和牙科管理.
科学领域:
- 心脏病学 心脏病学
- 牙科 牙科是指牙科的专业.
- 传染性疾病 传染性疾病
背景情况:
- 在侵袭性牙科手术 (IDP) 之前,NICE关于感染性内心炎 (IE) 抗生素预防 (AP) 的指南缺乏明确性,导致患者和牙医感到困惑.
- 目前的同意法律要求向患者告知牙科治疗的重大风险和减轻风险的策略.
研究的目的:
- 为牙医提供有关各种患者群体内IDP相关的IE风险的最新信息.
- 提出有关AP在不同患者群体中减轻IE风险的有效性数据.
- 帮助牙医在知情同意讨论和管理高风险患者.
主要方法:
- 对IE风险的当前文献的审查.
- 对AP在预防IE方面的疗效数据的分析.
- 综合用于实际临床指导的信息.
主要成果:
- 尼斯指导方针的模两可,给关于IE预防的知情同意带来了挑战.
- 了解IE风险分层和AP有效性对于患者管理至关重要.
- 为管理IE风险增加的患者提供了实际建议.
结论:
- 需要更清晰的沟通和风险评估,以便在牙科中做出IE预防决策.
- 牙医需要更新的信息,以履行法律和道德义务的知情同意.
- 对于接受内部流离失所患者的高风险患者,有效的管理策略至关重要.
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