Joint prostheses and dental treatmentJoint prostheses and dental treatmentAdvice of a Working Party of the British Society forAntimicrobial Chemotherapy is that patients withprosthetic joint implants (including total hip replacements)do not require antibiotic prophylaxis fordental treatment. The Working Party considersthat it is unacceptable to expose patients to theadverse effects of antibiotics when there is no evidencethat such prophylaxis is of any benefit, butthat those who develop any intercurrent infectionrequire prompt treatment with antibiotics to whichthe infecting organisms are sensitive.The Working Party has commented that joint infectionshave rarely been shown to follow dental proceduresand are even more rarely caused by oralstreptococci.Immunosuppression and indwellingintraperitoneal cathetersImmunosuppression and indwellingintraperitoneal cathetersAdvice of a Working Party of the British Society forAntimicrobial Chemotherapy is that patients who areimmunosuppressed (including transplant patients)and patients with indwelling intraperitoneal cathetersdo not require antibiotic prophylaxis for dentaltreatment provided there is no other indication forprophylaxis.The Working Party has commented that there is littleevidence that dental treatment is followed by infectionin immunosuppressed and immunodeficientpatients nor is there evidence that dental treatmentis followed by infection in patients with indwellin
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