传染性内心炎与牙科治疗或牙状况不佳有关-来自布兰登堡内心炎注册表 (B.E.R.) 的结果
Roya Ostovar1, Anna-Maria Necaev1, Filip Schröter1
1Department of Cardiac and Vascular Surgery, Heart Center Brandenburg, University Hospital Brandenburg Medical School, Faculty of Health Sciences Brandenburg, Ladeburger Str. 17, 16321 Bernau bei Berlin, Germany.
Journal of clinical medicine
|April 26, 2025
概括
最近的牙科治疗和牙状况不佳与传染性内心炎有关. 这项研究强调了改善牙科患者内心炎预防和改善牙科护理的必要性,以防止严重的后果.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 口腔健康 口腔健康
背景情况:
- 最近的牙科手术和传染性内心炎 (IE) 之间的联系已经确立.
- 牙状况不佳与IE之间的关联仍未得到明确证明.
- 本研究使用专门的注册表调查了牙状况在IE发展中的作用.
研究的目的:
- 分析牙状况不佳与传染性内心炎之间的假设联系.
- 为了比较最近接受牙科治疗或牙状况不佳的患者与对照者的微生物概况和结果.
主要方法:
- 对530名感染性内心炎患者的回顾性分析.
- 将接受牙科治疗的患者 (TREAT) 和牙科状况不佳的患者 (DESOLATE) 与匹配的对照组 (CONTROL) 的患者进行比较.
- 使用倾向性评分分析来匹配患者组.
主要成果:
- 最近接受牙科治疗的患者 (TREAT) 呈现出显著更高的链球菌感染率. 与对照人群相比,虫和其他链球菌.
- 牙状况不佳的患者 (DESOLATE) 也表现出明显更高的链球菌感染率. 与对照组相比,Mitis与对照组进行了比较.
- 与控制组 (15.25%) 相比,TREAT组 (23.7%) 的早期死亡率更高.
结论:
- 研究结果表明,在接受牙科手术的患者中,内心炎预防中存在潜在的缺陷.
- 由于牙科护理不良而导致的自发性细菌血症可能会导致传染性内心炎.
- 需要新的策略来减轻与牙科治疗和口腔健康不良相关的风险.
相关概念视频
01:26Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
3.9K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
3.9K
01:22Healthcare Associated Infections II: Preventive Measures
2.3K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.3K
01:30Bacterial Signaling
30.6K
Bacterial signaling can occur within bacteria (intracellular) or between bacteria (intercellular). At times, a group of bacteria behaves like a community. To achieve this, they engage in quorum sensing, the perception of higher cell density that causes changes in gene expression. Quorum sensing involves both extracellular and intracellular signaling. The signaling cascade starts with a molecule called an autoinducer (AI). Individual bacteria produce AIs that move out of the bacterial cell...
30.6K
01:15Teeth
247
The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
247
01:21Tooth Anatomy
269
The human tooth enables us to eat a variety of foods, speak clearly, and even aid in shaping our faces. Teeth are composed of various elements that work together. Here's a detailed look at the anatomy of a human tooth.
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
269