This Article Free Full Text (Free PDF) Free References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Coulter, W.A. Articles by Emmerson, A.M. Search for Related Content PubMed PubMed Citation Articles by Coulter, W.A. Articles by Emmerson, A.M. Social Bookmarking                         What's this?

Bacteremia in Children Following Dental Extraction

Department of Preventive Dentistry, The Queen's University of Belfast, Belfast, BT126BN, Northern Ireland

A. Coffey

Department of Microbiology and Immunobiology, The Queen's University of Belfast, Belfast, BT126BN, Northern Ireland

I.D.F. Saunders

Dental Department, Royal Belfast Hospital for Sick Children, Belfast

A.M. Emmerson

Department of Microbiology and Immunobiology, The Queen's University of Belfast, Belfast, BT126BN, Northern Ireland

The incidence and intensity of bacteremia following tooth extraction in children were measured by blood culture. The effects on bacteremia of the number and type of teeth extracted, oral hygiene, gingival health, presence of abscess, and antibiotic prophylaxis were assessed. Antibiotic prophylaxis reduced the incidence of bacteremia from 63% to 35%. The intensity of bacteremia was 2 cfu/mL of blood or less in 80% of the children. An agar pour-plate method of blood culture was significantly more effective than broth in culturing the small volumes of inoculum. Of 83 bacterial strains characterized, 39 were strict anaerobes or micro-aerophilic, and the remainder mainly streptococci. S. mitior and S. sanguis were most commonly isolated, often in pure culture, and were generally sensitive to antibiotics. No direct association was demonstrated between the plaque and gingival indices and incidence of bacteremia or between the number of teeth extracted and the incidence or intensity of bacteremia. It is concluded that all children at risk from infective endocarditis require antibiotic prophylaxis prior to tooth extraction, since it is impossible for the likelihood or intensity of transient bacteremia to be clinically predicted.

Journal of Dental Research, Vol. 69, No. 10, 1691-1695 (1990)
DOI: 10.1177/00220345900690101201


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				N. B. Parahitiyawa, L. J. Jin, W. K. Leung, W. C. Yam, and L. P. Samaranayake Microbiology of Odontogenic Bacteremia: beyond Endocarditis Clin. Microbiol. Rev., January 1, 2009; 22(1): 46 - 64. [Abstract] [Full Text] [PDF]

				I. Uckay, D. Pittet, L. Bernard, D. Lew, A. Perrier, and R. Peter Antibiotic prophylaxis before invasive dental procedures in patients with arthroplasties of the hip and knee J Bone Joint Surg Br, July 1, 2008; 90-B(7): 833 - 838. [Abstract] [Full Text] [PDF]

				V. S. Lucas, A. Kyriazidou, M. Gelbier, and G. J. Roberts Bacteraemia following debanding and gold chain adjustment Eur J Orthod, April 1, 2007; 29(2): 161 - 165. [Abstract] [Full Text] [PDF]

				P. B. Lockhart, M. T. Brennan, M. L. Kent, H. J. Norton, and D. A. Weinrib Impact of Amoxicillin Prophylaxis on the Incidence, Nature, and Duration of Bacteremia in Children After Intubation and Dental Procedures Circulation, June 15, 2004; 109(23): 2878 - 2884. [Abstract] [Full Text] [PDF]

				M. W. Stinson, S. Alder, and S. Kumar Invasion and Killing of Human Endothelial Cells by Viridans Group Streptococci Infect. Immun., May 1, 2003; 71(5): 2365 - 2372. [Abstract] [Full Text] [PDF]

				V. S. Lucas, V. Lytra, T. Hassan, H. Tatham, M. Wilson, and G. J. Roberts Comparison of Lysis Filtration and an Automated Blood Culture System (BACTEC) for Detection, Quantification, and Identification of Odontogenic Bacteremia in Children J. Clin. Microbiol., September 1, 2002; 40(9): 3416 - 3420. [Abstract] [Full Text] [PDF]

				Z. E. Juarez and M. W. Stinson An Extracellular Protease of Streptococcus gordonii Hydrolyzes Type IV Collagen and Collagen Analogues Infect. Immun., January 1, 1999; 67(1): 271 - 278. [Abstract] [Full Text] [PDF]

				J. M. DEACON, A. J. PAGLIARO, S. B. ZELICOF, and H. W. HOROWITZ Current Concepts Review - Prophylactic Use of Antibiotics for Procedures after Total Joint Replacement J. Bone Joint Surg. Am., November 1, 1996; 78(11): 1755 - 70. [Full Text]