Bacteremia following intraoral suture removal

Following dental extractions, prophylactic antibiotic protection of patients at high risk of cardiovalvular infection is usually discontinued before suture removal. To determine whether bacteremia is created upon removal of intraoral sutures, twenty healthy patients who required extractions of at le...

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Veröffentlicht in:Oral surgery, oral medicine, oral pathology oral medicine, oral pathology, 1988, Vol.65 (1), p.23-28
Hauptverfasser: King, Ronald C., Crawford, James J., Small, Ernest W.
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container_title Oral surgery, oral medicine, oral pathology
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creator King, Ronald C.
Crawford, James J.
Small, Ernest W.
description Following dental extractions, prophylactic antibiotic protection of patients at high risk of cardiovalvular infection is usually discontinued before suture removal. To determine whether bacteremia is created upon removal of intraoral sutures, twenty healthy patients who required extractions of at least five erupted teeth and placement of several sutures were selected without regard to sex, age, or race. Blood samples were drawn preoperatively, immediately after the extractions, before suture removal, and immediately following removal of the intraoral silk sutures. The samples were cultured in prereduced and aerobic media suitable for quantitative colony counts. Fourteen of 16 patients yielded positive blood cultures following tooth extractions. One of 20 patients yielded a positive blood culture following suture removal. Even though the incidence of bacteremia following intraoral suture removal is relatively low (5%), this study suggests that intraoral suture removal is not a benign procedure for those persons who are considered high-risk cardiac patients.
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source MEDLINE; Alma/SFX Local Collection
subjects Bacteria - isolation & purification
Biological and medical sciences
Dentistry
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Maxillofacial surgery. Dental surgery. Orthodontics
Medical sciences
Mouth Mucosa - surgery
Risk Factors
Sepsis - etiology
Sepsis - microbiology
Streptococcus - isolation & purification
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Suture Techniques
Tooth Extraction
title Bacteremia following intraoral suture removal
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