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Erschienen in: wissen kompakt 3/2021

19.08.2021 | Allgemeine Zahnheilkunde | CME Zahnärztliche Fortbildung

Antibiotika im Rahmen der Endokarditisprophylaxe – Risiko und Nutzen

verfasst von: Dr. H. Staedt, Dr. D. Heimes, M. A. FEBOMS Univ.-Prof. Dr. Dr. P. W. Kämmerer

Erschienen in: wissen kompakt | Ausgabe 3/2021

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Zusammenfassung

Für die Effektivität und Effizienz einer antibiotischen Prophylaxe vor zahnmedizinischen Eingriffen zum Schutz vor einer infektiösen Endokarditis liegt nur eine geringe Evidenz vor, die keine Rechtfertigung zur generalisierten Therapie von Patienten mit einem erhöhten Endokarditisrisiko darstellt. Aktuelle Leitlinien empfehlen daher, Antibiotika im Rahmen der Endokarditisprophylaxe auf Patienten zu beschränken, die zum einen ein hohes Risiko für die Entstehung einer infektiösen Endokarditis aufweisen und die sich zum anderen zahnärztlichen Eingriffen mit höchstem Endokarditisrisiko unterziehen. Einen hohen Stellwert besitzen allerdings auch Mund- und Hauthygienemaßnahmen, die nicht nur auf Risikopatienten, sondern auch auf die Allgemeinbevölkerung angewendet werden sollten, da die Inzidenz der infektiösen Endokarditis bei Patienten ohne anamnestisch bekannte Herzerkrankung zunehmend ansteigt.
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Metadaten
Titel
Antibiotika im Rahmen der Endokarditisprophylaxe – Risiko und Nutzen
verfasst von
Dr. H. Staedt
Dr. D. Heimes
M. A. FEBOMS Univ.-Prof. Dr. Dr. P. W. Kämmerer
Publikationsdatum
19.08.2021
Verlag
Springer Medizin
Erschienen in
wissen kompakt / Ausgabe 3/2021
Print ISSN: 1863-2637
Elektronische ISSN: 2190-3816
DOI
https://doi.org/10.1007/s11838-021-00134-4

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