Patients who are at risk of bacterial Endocarditis should support and mouth but the (possible sanirovannom a position to reduce the potential source of bacterial semination due to poor oral hygiene and periodontal or periapikalnoy infection that can cause microbiemia even without dental procedures. Patients who do not have teeth, microbiemia can develop from ulcers caused by improperly balanced prostheses. Preventive antibiotics are recommended for all dental procedures (including routine professional cleaning), which is likely to cause bleeding of the gums. As spontaneous loss of temporary teeth and simple adaptation ortodonicheskih devices do not represent a significant risk of Endocarditis, antibiotics, in this case are not necessary. endotracheal intubation is not an indication for prophylaxis with antibiotics, unless it is linked to other procedures, in which it recommended.
Because the alpha-Ischemic streptococcus most common cause endocarditis after dental procedures, prevention must be directed specifically against these pathogens. Certain procedures pa upper respiratory tract (eg, tonsillectomy, or adenoidektomiya, bronchoscopy, especially with rigid bronchoscopy, and surgical procedures, including biopsiyu, damage slizistuyu airways) can also cause microbiemia cause with the same sensitivity to antibiotics, such as those that cause microbiemia after dental procedures. It is therefore recommended that the same methods. No reported cases Endocarditis due to the introduction timpanostomicheskih pipes. However, no studies to determine risk in connection microbiemia
this procedure.
Patients with particularly high risk of Endocarditis (for example, with a synthetic valve or surgically constructed system-pulmonalnye shunty) recommended prophylaxis parenteral antibiotics.