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April 1971, Vol 121, No. 4 >
Article | April 1971

Transient Bacteremia in Pediatric Patients Following Dental Manipulation FREE

William T. Speck, MD; George A. Hurwitz, DDS; George B. Keller
[+] Author Affiliations

Received for publication Oct 22, 1970; accepted Dec 9.

Reprint requests to 2105 Fifth Ave, San Diego, Calif 92101 (Dr. Speck).


Am J Dis Child. 1971;121(4):286-288. doi:10.1001/archpedi.1971.02100150060004.
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References
Comments

We have attempted to formulate a rational policy for antibacterial prophylaxis in pediatric patients with rheumatic or congenital valvular heart disease prior to dental procedures. We documented the incidence of bacteremia in pediatric patients following a standardized form of dental manipulation. No demonstrable bacteremia was present in the 32 patients included in this study. We believe, therefore, that present recommendations for such antibiotic prophylaxis need revision.

REFERENCES

1 +
Nadas AS: Pediatric Cardiology , ed 2. Philadelphia, WB Saunders Co, 1966;, p 222.
2 +
Friedberg CK: Diseases of the Heart . Philadelphia, WB Saunders Co, 1956;, p 804.
3 +
Levine SA: Clinical Heart Disease , ed 5. Philadelphia, WB Saunders Co, 1958;, p 211.
4 +
Prevention of Bacterial Endocarditis . New York, American Heart Association, 1965;.
5 +
Horowitz H, Heifetz S:  Current status of topical fluorides in preventive dentistry . J Amer Dent Assoc 81:166-175, 1970;.
6 +
Harvy P, Capone M:  Bacterial endocarditis related to dental procedures . Amer J Cardiol 7:793-798, 1963;.
7 +
Robinson L, Kraus FW, Lanzansky JP, et al:  Bacteremia of dental origin . J Oral Surg 3:519-531, 1950;.
8 +
Cobe W:  Transient bacteremia . J Oral Surg 7:609-615, 1954;.
9 +
Richards JH:  Bacteremia following irritation of foci of infection . JAMA 99:1496-1497, 1932;.
10 +
Round H, et al:  Further investigations on bacteriological infection of the mouth . Proc Roy Soc Med 29:1552-1556, 1936;.
11 +
Murray M, Moosnick F:  Incidence of bacteremia in patients with dental disease . J Lab Clin Med 26:801-802, 1941;.
12 +
Elliott SD:  Bacteremia and oral sepsis . Proc Roy Soc Med 32:747-754, 1939;.
13 +
Okell CC, Elliott SD:  Bacteremia and oral sepsis with special reference to etiology of subacute endocarditis . Lancet 4:869-872, 1935;.
14 +
Lazansky JP, et al:  Factors influencing the incidence of bacteremia following surgical procedures in the oral cavity . J Dent Res 28:533-543, 1949;.
15 +
Burkett L, Burn C:  Bacteremia following dental extraction demonstration of source of bacteria by means of a new-pathogen (Serratia marcescens) . J Dent Res 16:521-530, 1937;.
16 +
Glickman I: Clinical Periodontology , ed 3. Philadelphia, WB Saunders Co, 1968;, p 239.
17 +
Elliott RH, Dunbar JM:  Streptococcal bacteremia in children following dental extractions . Arch Dis Child 43:451-454, 1968;.
18 +
Rogosa M, et al:  Blood sampling and cultural studies in the detection of postoperative bacteremias . J Amer Dent Assoc 60:171-180, 1960;.

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References

1 +
Nadas AS: Pediatric Cardiology , ed 2. Philadelphia, WB Saunders Co, 1966;, p 222.
2 +
Friedberg CK: Diseases of the Heart . Philadelphia, WB Saunders Co, 1956;, p 804.
3 +
Levine SA: Clinical Heart Disease , ed 5. Philadelphia, WB Saunders Co, 1958;, p 211.
4 +
Prevention of Bacterial Endocarditis . New York, American Heart Association, 1965;.
5 +
Horowitz H, Heifetz S:  Current status of topical fluorides in preventive dentistry . J Amer Dent Assoc 81:166-175, 1970;.
6 +
Harvy P, Capone M:  Bacterial endocarditis related to dental procedures . Amer J Cardiol 7:793-798, 1963;.
7 +
Robinson L, Kraus FW, Lanzansky JP, et al:  Bacteremia of dental origin . J Oral Surg 3:519-531, 1950;.
8 +
Cobe W:  Transient bacteremia . J Oral Surg 7:609-615, 1954;.
9 +
Richards JH:  Bacteremia following irritation of foci of infection . JAMA 99:1496-1497, 1932;.
10 +
Round H, et al:  Further investigations on bacteriological infection of the mouth . Proc Roy Soc Med 29:1552-1556, 1936;.
11 +
Murray M, Moosnick F:  Incidence of bacteremia in patients with dental disease . J Lab Clin Med 26:801-802, 1941;.
12 +
Elliott SD:  Bacteremia and oral sepsis . Proc Roy Soc Med 32:747-754, 1939;.
13 +
Okell CC, Elliott SD:  Bacteremia and oral sepsis with special reference to etiology of subacute endocarditis . Lancet 4:869-872, 1935;.
14 +
Lazansky JP, et al:  Factors influencing the incidence of bacteremia following surgical procedures in the oral cavity . J Dent Res 28:533-543, 1949;.
15 +
Burkett L, Burn C:  Bacteremia following dental extraction demonstration of source of bacteria by means of a new-pathogen (Serratia marcescens) . J Dent Res 16:521-530, 1937;.
16 +
Glickman I: Clinical Periodontology , ed 3. Philadelphia, WB Saunders Co, 1968;, p 239.
17 +
Elliott RH, Dunbar JM:  Streptococcal bacteremia in children following dental extractions . Arch Dis Child 43:451-454, 1968;.
18 +
Rogosa M, et al:  Blood sampling and cultural studies in the detection of postoperative bacteremias . J Amer Dent Assoc 60:171-180, 1960;.

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