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what are the three types of microorganisms in odontogenic infections?
- faculativie gram positive cocci (S VIRIDANS)
- anaerobic gram positive cocci
- gram negative bacilli
what is thre predominating microorganism in periodontal infections?
what is the drug of choice for odontogenic infections?
what are the indications for antibacterials for oral infection? 7
- rapid respiration
t/f purulent exudate may block antibiotic effect
t/f tx must be done for odontogenic infections or they will come back if just given antibiotic
t/f pharmacology sucks
the routine use of antibacterial agents for management of _____ infections is not _____, you must get rid of the _____
- odontogenic infections
what is the appropriate drug of choice unless a pt has an allergy for treatment of uncomplicated odontogenic infection?
what ist he primary line of antibacterial chemotherapy
what is the secondary line of treatment for odontogenic infections?
what iswhat is the tertiary line of treatment for odontogenic infections?
what is the empirical drug of choice for uncomplicated odontogenic infections in pt who are allergic to beta-lactam antibiotics
if significant improvement is not noted with penicillin VK in __ -__ hours add what to pen VK?
- 48-72 hours
- ADD METRONIDAZOLE
metronidazole is bactericidal against what?
most obligate anareobes
______ base is most associated with antibiotic resistance
what is more appropriate for pt allergic to beta lactam (penicilllin and cephalosporin) than the macrolides?
what is the drug of choice for treatment of complicated or long standing odontogenic infection
what is the associated with the black box warning?
pseudomembranous colitis (clindamycin)
what are two examples of drugs placed ino the periodontal sulcus with perio disease?
doxycycline hyclate is in an ______ doseform taken in ____m g tablet
doxycycline hyclate oral doseform uses the matrix _______ inhibitory effect to slow _____ inflammation
what are three cardiac conditions that warrant antibiotic premedicaiton prior to invasive detnal procedures?
- artificial heart valves
- specific congenital heart defects
- cardiac trasplnat that develops vavular problems
what three congenital hear defects require premed?
- unrepaired or incomplete repaired congenital heart disease
- completely repaired congenital heart defect with prosthetic material or device 1-6 month post surgery
- repaired congenital heart defect with residual defect at site or adjacent to site with prosthetic patch or device
t/f mitral vavle prolapse requires a premed?
mitral valve prolapse, rheumatic heart disease, bicuspid valve disease, calcified aortic stenosis, ventricular septal defect, atrial septal defect, hypertrophic cardiomyopathy......
all these do not require premedication any more
t/f stents require pre med
FALSE shunts yes stents no
t/f shunts require a premed
true! shunts yes stents no
what are two adverse effects of antibiotics
- antibiotic resistance
how long are antibiotics recommended for TJR
what drugs do you not use for TJR?
macrolides-erythromycin, clarithromycin, azithromycin DO NOT USE FOR TJR
t/f macrolides should not be used for TJR
true dat mhm
what are procedures that require antibiotics in TJR?
- intraligament and intraosseous local anesthetic injections
- oral prophylaxis
what ist he most important use of prophylaxis
preventing bacterial endocarditis
what is the the #1 most important part of prophylaxis for prevention of infective endocarditis?
maintainint oral hygiene and receiving regular dental care to avoid formation of transient bacteremias
the american heart associaition guidelines for prophylaxis are for what four things?
- prosthetic heart valve
- previous endocarditis
- congenital heart diesase
- cardiac transplant (valvulopathy)
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