This document discusses antibiotic prophylaxis for clients with underlying heart conditions undergoing dental procedures. It outlines guidelines for who should receive premedication to reduce the risk of infective endocarditis, such as those with prosthetic heart valves or a history of endocarditis. While some studies question how effective universal prophylaxis is, the consensus is that invasive dental work poses a risk for susceptible clients and precautions are warranted. Dentists must follow the most up to date standards to provide safe, high quality care for these higher risk individuals.
Adaptation and Implementation of Evidence-Based Clinical Practice Guidelines for Antibiotic Prophylaxis in Surgery in King Saud University Hospitals in Riyadh, Saudi Arabia
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Module: Pharmacology and Therapeutics III, (Therapeutics part)
Coordinator: Dr. Arwa M. Amin Mostafa
Academic Level: Undergraduate, B.Pharmacy
School: Dubai Pharmacy College
Year of first presented in Class: 2018
This presentation is for educational purpose. It has no commercial value associated with it.
Adaptation and Implementation of Evidence-Based Clinical Practice Guidelines for Antibiotic Prophylaxis in Surgery in King Saud University Hospitals in Riyadh, Saudi Arabia
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
Module: Pharmacology and Therapeutics III, (Therapeutics part)
Coordinator: Dr. Arwa M. Amin Mostafa
Academic Level: Undergraduate, B.Pharmacy
School: Dubai Pharmacy College
Year of first presented in Class: 2018
This presentation is for educational purpose. It has no commercial value associated with it.
WHO CME ANTIBIOTIC STEWARDSHIP ITALY
• Articulate the principles of antimicrobial use in surgical
prophylaxis
• Describe how key institution-specific protocols can improve
the use of antimicrobials for surgical prophylaxis
• Appreciate the importance of pre-operative dosing and limiting
prophylactic antimicrobials to the duration of the surgical
procedure
According to the National Center for Health Statistics, approximately 46 million surgical procedures are performed annually in the United States, the majority of which are done in an outpatient setting.1
Infection is the most common complication of surgery.2
Surgical site infections (SSIs) occur in approximately 3% to 6% of
patients and prolong hospitalization by an average of 7 days at a direct annual cost of $5 to $10 billion.3,4
SSIs are the third (14%–16%) most frequent cause of nosocomial infections among hospitalized patients.3
Infection occurs within 30 days after the operative procedure if no implant is left in place or within 1 year if implant is in place and the infection appears to be related to the operative procedure
risk factors includes
Age
Obesity
Diabetes
Malnutrition
Prolonged preoperative stay
Infection at remote site
Systemic steroid use
Nicotine use
Management of post operative wound infectionBashir BnYunus
post operative wound infection now surgical site infection is a common post operative complication especially in developing countries and the 2nd most common nosocomial infection. it leads to prolong hospital stay among other complications
Rational use of antibiotics by M. Jagadeesh, Creative Educational Society's C...Dr. Jagadeesh Mangamoori
Rational use of antibiotics is extremely important as injudicious use can adversely affect the patient, cause emergence of antibiotic resistance and increase the cost of health care.
Invasive Fungal Sinusitis: Management of the
Orbit, a Multi Institutional Study and Review of
Literature by Abhishek Kumar Ramadhin in Experiments in Rhinology & Otolaryngology
https://crimsonpublishers.com/ero/fulltext/ERO.000522.php
Antibiotics in the ICU - when, what and how?scanFOAM
A presentation by Fredrik Sjövall at the 2017 meeting of the Scandinavian Society of Anaestesiology and Intensive Care Medicine.
All available content from SSAI2017: https://scanfoam.org/ssai2017/
Delivered in collaboration between scanFOAM, SSAI & SFAI.
Preventing Infection during Surgery is important. Standard Guidelines help team work on the same page. An update on various preventive strategy is discussed.
אנטיביוטיקה פרופילקטית למניעת זיהומי מפרקים מלאכותיים אורתופדיים בעקבות טיפול...Guy Volfin
Antibiotic Prophylaxis Prior To Dental Procedures For The Prevention Of Prosthetic Joint Infections
האם יש קשר בין טיפולי שיניים וזיהומים במפרקים אורתופדיים מלאכותיים? האם יש צורך במתן אנטיביוטיקה לפני טיפולי שיניים בחולים שעברו השתלת מפרק אורתופדי? מהם המינונים המומלצים? מהן ההמלצות למטופל?
In this lecture I explain in step-by-step fashion the basics of Dental Management of Infective Endocarditis. a photo guide is attached to the guide to aid in better understanding of the topic
WHO CME ANTIBIOTIC STEWARDSHIP ITALY
• Articulate the principles of antimicrobial use in surgical
prophylaxis
• Describe how key institution-specific protocols can improve
the use of antimicrobials for surgical prophylaxis
• Appreciate the importance of pre-operative dosing and limiting
prophylactic antimicrobials to the duration of the surgical
procedure
According to the National Center for Health Statistics, approximately 46 million surgical procedures are performed annually in the United States, the majority of which are done in an outpatient setting.1
Infection is the most common complication of surgery.2
Surgical site infections (SSIs) occur in approximately 3% to 6% of
patients and prolong hospitalization by an average of 7 days at a direct annual cost of $5 to $10 billion.3,4
SSIs are the third (14%–16%) most frequent cause of nosocomial infections among hospitalized patients.3
Infection occurs within 30 days after the operative procedure if no implant is left in place or within 1 year if implant is in place and the infection appears to be related to the operative procedure
risk factors includes
Age
Obesity
Diabetes
Malnutrition
Prolonged preoperative stay
Infection at remote site
Systemic steroid use
Nicotine use
Management of post operative wound infectionBashir BnYunus
post operative wound infection now surgical site infection is a common post operative complication especially in developing countries and the 2nd most common nosocomial infection. it leads to prolong hospital stay among other complications
Rational use of antibiotics by M. Jagadeesh, Creative Educational Society's C...Dr. Jagadeesh Mangamoori
Rational use of antibiotics is extremely important as injudicious use can adversely affect the patient, cause emergence of antibiotic resistance and increase the cost of health care.
Invasive Fungal Sinusitis: Management of the
Orbit, a Multi Institutional Study and Review of
Literature by Abhishek Kumar Ramadhin in Experiments in Rhinology & Otolaryngology
https://crimsonpublishers.com/ero/fulltext/ERO.000522.php
Antibiotics in the ICU - when, what and how?scanFOAM
A presentation by Fredrik Sjövall at the 2017 meeting of the Scandinavian Society of Anaestesiology and Intensive Care Medicine.
All available content from SSAI2017: https://scanfoam.org/ssai2017/
Delivered in collaboration between scanFOAM, SSAI & SFAI.
Preventing Infection during Surgery is important. Standard Guidelines help team work on the same page. An update on various preventive strategy is discussed.
אנטיביוטיקה פרופילקטית למניעת זיהומי מפרקים מלאכותיים אורתופדיים בעקבות טיפול...Guy Volfin
Antibiotic Prophylaxis Prior To Dental Procedures For The Prevention Of Prosthetic Joint Infections
האם יש קשר בין טיפולי שיניים וזיהומים במפרקים אורתופדיים מלאכותיים? האם יש צורך במתן אנטיביוטיקה לפני טיפולי שיניים בחולים שעברו השתלת מפרק אורתופדי? מהם המינונים המומלצים? מהן ההמלצות למטופל?
In this lecture I explain in step-by-step fashion the basics of Dental Management of Infective Endocarditis. a photo guide is attached to the guide to aid in better understanding of the topic
You've wanted to understand how good oral health contributes to good health. This presentation is filled with scientific proofs and ways to use the science.
Talk to your dental hygienist or contact the author of this presentation for more information on how to make your health better by improving oral health.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
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CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
This document is designed as an introductory to medical students,nursing students,midwives or other healthcare trainees to improve their understanding about how health system in Sri Lanka cares children health.
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to CareVITASAuthor
This webinar helps clinicians understand the unique healthcare needs of the LGBTQ+ community, primarily in relation to end-of-life care. Topics include social and cultural background and challenges, healthcare disparities, advanced care planning, and strategies for reaching the community and improving quality of care.
1. THE NEED FOR ANTIBIOTIC
PROPHYLAXIS IN CLIENTS
WITH UNDERLYING CARDIAC
CONDITIONSLauren McMeekin, Valerie Cote & Morgan Milligan
2. PICO QUESTION
In clients with underlying heart conditions, does premedication
reduce the risk of infective endocarditis, compared to no
premedication during dental prophylaxis?
P = clients with underlying heart conditions
I = prophylaxis antibiotic
C = no prophylaxis antibiotic
O = reduction in infective endocarditis
3. WHAT IS
INFECTIVE
ENDOCARDITIS?
It is defined as an infection
caused by bacteria entering
the blood stream and
attaching itself to the heart
chamber linings (Chen, Tung,
Wu, 2015)
It is an inflammation of the
inner tissues of the heart, the
endocardium, usually of the
valves. It is caused by
infectious agents, or
pathogens, which are
largely bacterial but a few
other organisms can also be
5. WHAT IS ANTIBIOTIC
PROPHYLAXIS?
An antibiotic given in order to prevent infection
complications prior to treatment. Bacteria is more
likely to enter the blood stream while at the dentist
and undergoing care. Antibiotic prophylaxis will
prevent any risk of developing infective endocarditis.
WHY?
Many dental clients often have underlying factors that
increase the chance of obtaining infective endocarditis
People with underlying cardiac conditions are the one’s that
require the premedication
6. GUIDELINES
The guidelines state that prophylactic antibiotics, which were
routinely administered to certain patients in the past, are no longer
needed for patients with:
mitral valve prolapse
rheumatic heart disease
bicuspid valve disease
calcified aortic stenosis
congenital heart conditions such as ventricular septal defect, atrial
septal defect and hypertrophic cardiomyopathy.
(Prevention of Enodcarditis, CDA,
2016)
7. UNDERLYING CONDITIONS
Some underlying conditions that require premedication's:
prosthetic cardiac valve or prosthetic material used for cardiac valve repair
history of infective endocarditis
cardiac transplants that develop cardiac valvulopathy
Congenital
unrepaired cyanotic congenital heart disease
palliative shunts and conduit a
completely repaired congenital heart defect with prosthetic material or device
any repaired congenital heart defect with residual defect at the site or adjacent to the site of a
prosthetic patch or a prosthetic device
8. NO ANTIBIOTIC PROPHYLAXIS?
Some studies have shown that not everyone with a heart condition
need to take a pre medication prior to invasive dental treatment
A study in Minnesota found that there was not a significant increase
in infective endocarditis within three months preceding dental
treatment, supports the fact that premedication is unnecessary for
dental prophylaxis (Wilson et al., 2008.)
ADA guidelines note that people with IE are exposed to the same
bacteria from daily oral hygiene routines.
Many forget to take it, or lie about taking it.
COUNTER
ARGRUMENT
9. OVER PRESCRIBING?
Due to over prescribing of antibiotics, there may be an increased
risk of antibiotic resistance in some individuals.
With all the different studies that have been done, there is no
significant proof that there is a need for an antibiotic prophylaxis in
certain cardiac cases.
10. DENTAL PROCEDURES THAT CONSIST
OF THE INVASION OF GINGIVAL TISSUE
Assessment; probing and exploration
Debridement, calculus and plaque removal
Polish, dental prophylaxis
All of which can induce perforation of the oral mucosa
All treatments that require a prophylaxis prior to treatment for any
client with an underlying cardiac condition (Wilson et al., 2008).
Invasive treatment creates blood which leads to bacteria getting into
the blood stream causing infection (Sroussi, Epstein, Prabhu, 2007).
11. CONT..
Taking antibiotic prophylaxis provides an extra
barrier to lower the risk of contracting infection.
Evidence shows that the risk may occur within two
weeks following that dental procedure, but with
many studies there has been evidence that the
infection can be caused by dental procedures
performed months earlier (Sroussi, Epstein,
Prabhu, 2007).
12. BEING AWARE AND UP TO DATE IS
KEY
Every dental practitioner must follow
most up to date standards in order to
provide the best care.
Following guidelines creates high
standards of care and defines
medicolegal standards (Sroussi, Epstein,
Prabhu, 2007).
Must always be taken seriously when a
client has a need for premedication
13. CONT..
Canadians can choose to follow the
American guidelines or a British society
guideline
Which ever one your office follows it must
always be followed to best standards
14. CONCLUSION
Client’s medical history must always be taken into consideration in
order to confirm if the client will require an antibiotic prophylaxis
Dental staff must always follow the prompt guidelines to ensure the
optimal care for clients
Take every precaution that is necessary
Essential for a client with an underlying cardiac condition
Antibiotic pre medication is still necessary for client that may be
susceptible to infective endocarditis
15. REFERENCES
American Dental Association. (2016, May). Retrieved from http://www.ada.org/en/member
center/oral- health-topics/antibiotic-prophylaxis
Chen, P., Tung, Y., Wu, P. W., Wu, L., Lin, Y., Chang, C.,…Chu, P. (2015). Medicine. Dental
Procedures and the Risk of Infective Endocarditis. 1-6. Retrieved from,
file:///C:/Users/Morgmill/Downloads/DentalProceduresandtheRiskofInfectie.41pf
Glasscoe, D.D. (n.d.). New Premedication Guidelines. Retrieved from,
http://www.rdhmag.com/articles/print/volume-28/issue-1/columns/staff-rx/new
premedication- guidelines.html
Sexton, D. J. (2016, June). Patient information: Antibiotics before procedures (Beyond the
Basics). Retrieved from http://www.uptodate.com/contents/antibiotic
beforeprocedures-beyond-the-basics
Sroussi, H. Y., Epstein, J. B., & Prabhu, A. R. (2007, June). Which Antibiotic Prophylaxis
Guidelines for Infective Endocarditis Should Canadian Dentists Follow?. Retrieved from,
https://www.cda-adc.ca/jcda/vol- 73/issue-5/401.pdf
Wilson, W., , Taubert, K. A., Gewitz, M., Lockhart, P. B., Baddour, L. M., Levison, M.,…Bolger,
A. (2008). Prevention of infective endocarditis: Guidelines from the American
Heart Association. JADA, Vol. 139 Retrieved from, http://jada.ada.org/article/S0002-
8177(14)627458/pdf