歯科・口腔外科処置における感染性心内膜炎予防に関する意識調査 A questionnaire survey about the prevention of infective endocarditis associated with dental treatment and oral surgery

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著者

    • 上田 貴史 UEDA Takashi
    • 大阪大学大学院歯学研究科顎口腔病因病態制御学講座 Division of Pathogenesis and Control of Oral Diseases, Graduate School of Dentistry, Osaka University
    • 古郷 幹彦 KOGO Mikihiko
    • 大阪大学大学院歯学研究科顎口腔病因病態制御学講座 Division of Pathogenesis and Control of Oral Diseases, Graduate School of Dentistry, Osaka University
    • 山本 友美 YAMAMOTO Yumi
    • 大阪大学大学院歯学研究科顎口腔病因病態制御学講座 Division of Pathogenesis and Control of Oral Diseases, Graduate School of Dentistry, Osaka University
    • 大谷 朋弘 OTANI Tomohiro
    • 大阪大学大学院歯学研究科顎口腔病因病態制御学講座 Division of Pathogenesis and Control of Oral Diseases, Graduate School of Dentistry, Osaka University
    • 小牧 誠史 KOMAKI Masashi
    • 大阪大学大学院歯学研究科顎口腔病因病態制御学講座 Division of Pathogenesis and Control of Oral Diseases, Graduate School of Dentistry, Osaka University
    • 戸塚 靖則 TOTSUKA Yasunori
    • 北海道大学大学院歯学研究科口腔顎顔面外科学講座 Department of Oral Pathobiological Science, Graduate School of Dental Medicine, Hokkaido University
    • 菅原 利夫 SUGAHARA Toshio
    • 岡山大学大学院医歯学総合研究科歯顎口腔機能再建外科学 Department of Oral and Maxillofacial Reconstructive Surgery, Graduate School of Dentistry, Okayama University
    • 杉原 一正 SUGIHARA Kazumasa
    • 鹿児島大学歯学部口腔外科学第一講座 The First Department of Oral and Maxillofacial Surgery, Kagoshima University Dental School
    • 瀬戸 〓一 SETO Kan-ichi
    • 鶴見大学歯学部口腔外科学第一講座 First Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Tsurumi University

抄録

Infective endocarditis (IE) is the most important complication in dentistry and oral surgery. Patients with a history of congenital heart disease or valvular disease are at high risk for IE and are therefore given prophylactic treatment with antimicrobial agents. Currently, however, there is no standard treatment; prophylactic treatments vary among different institutions. The Japanese Circulation Society is planning to publish "Guidelines for the Prevention and Treatment of Infective Endocarditis." In November 2002 the head of the National Cardiovascular Center, Dr. Kunio Miyatake, sent a questionnaire on IE to the Japanese Society of Oral and Maxillo-facial Surgeons. We obtained the cooperation of the Society's specialists and proceeded with the investigation. The results of the questionnaire, indicated that awareness of the need to prevent IE was highest postoperatively for patients with valvular disease or inoperable valvular disease, and postoperatively for congenital heart disease or inoperable congenital heart disease. Awareness of the need to prevent IE was also strong among oral surgeons treating patients who had had heart operations such as coronary artery bypass surgery and pacemaker implantation. Moreover, respondents to the questionnaire believed it was important to consider the degree of invasiveness of the specific dental treatment in patients with cardiac disease, and schemes for the prophylaxis of IE were implemented when the degree of invasiveness exceeded that of scaling. As for the antimicrobial agents given for prophylaxis, many different penicillins and cephalosporins were used. Many responses regarding dosage referred to the recommendations of the American Heart Association (AHA).

収録刊行物

  • 日本口腔外科学会雑誌  

    日本口腔外科学会雑誌 50(6), 362-367, 2004-06-20 

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10018619752
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    ART
  • ISSN
    00215163
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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