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Antibiotics in dentistry

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Antibiotic Use In Dentistry
Writing Prescriptions Rx: Drug Name (can be generic) Unit Dose (ex: Pen V-K 500 mg, Elixer, Sol’n) Disp: # of pills, milliliters (ml) Sig: Directions for use. q24h (daily), q12h, q8h, q6h, q4h, prn pain, till gone Refills__ Signature DEA #
General Rules ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Antibiotic Strategies ,[object Object],[object Object],[object Object],[object Object]
Considerations ,[object Object],[object Object],[object Object],[object Object]
Discussion: Antibiotic Choice ,[object Object],[object Object],[object Object],[object Object]
Narrow Spectrum Antibiotics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Broad Spectrum Antibiotics ,[object Object],[object Object],[object Object]
Common Pathogens ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Common Pathogens ,[object Object],[object Object],[object Object]
Common Pathogens ,[object Object]
Let’s Talk About Resistance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Antibiotic Choices
ß-Lactams ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ß-Lactams ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ß-Lactams ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ß-Lactams ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cephalosporins ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cephalosporins ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lincosamides ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lincosamides ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Macrolides ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Macrolides ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tetracyclines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tetracyclines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nitroimidazoles ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nitroimidazoles ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fluoroquinolones ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fluoroquinolones ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Antifungals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Antifungals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ADA/AAOS Advisory Statement July 1997
AAOS Statement Antibiotic prophylaxis is NOT recommended for dental patients with plates, pins, or screws, nor is it routinely recommended for MOST dental patients with TOTAL JOINT REPLACEMENTS.
AAOS recommendations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
AAOS recommendations ,[object Object],[object Object],[object Object],[object Object]
Legal Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object]
Legal Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object]
In Summary….
Principles of Antibiotic Therapy ,[object Object],[object Object],[object Object],[object Object]
Patient factors ,[object Object],[object Object],[object Object],[object Object],[object Object]
Dental Infection Acute—Rapid growth < 3 days Chronic > 3 days Pen VK 500mg q6h or Amox 500mg q8h or Cephalosporin Allergic to PCN Clindamycin 300mg q8h or Cephalosporin (check allergic Rxn) or Azith or Clarithromycin Think Anaerobes Add Metronidazole 250-500mg To PCN, Amox, or Ceph Clindamycin 300mg q8h

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Antibiotics in dentistry

  • 1. Antibiotic Use In Dentistry
  • 2. Writing Prescriptions Rx: Drug Name (can be generic) Unit Dose (ex: Pen V-K 500 mg, Elixer, Sol’n) Disp: # of pills, milliliters (ml) Sig: Directions for use. q24h (daily), q12h, q8h, q6h, q4h, prn pain, till gone Refills__ Signature DEA #
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  • 34. AAOS Statement Antibiotic prophylaxis is NOT recommended for dental patients with plates, pins, or screws, nor is it routinely recommended for MOST dental patients with TOTAL JOINT REPLACEMENTS.
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  • 42. Dental Infection Acute—Rapid growth < 3 days Chronic > 3 days Pen VK 500mg q6h or Amox 500mg q8h or Cephalosporin Allergic to PCN Clindamycin 300mg q8h or Cephalosporin (check allergic Rxn) or Azith or Clarithromycin Think Anaerobes Add Metronidazole 250-500mg To PCN, Amox, or Ceph Clindamycin 300mg q8h