Bacteremia following different oral procedures: Systematic review and meta-analysis.

Autor: Martins CC; Department of Pediatric Dentistry, Dental School, Federal University of Minas Gerais, Belo Horizonte, Brazil., Lockhart PB; Department of Oral Medicine/Oral & Maxillofacial Surgery, Carolinas Medical Center, Atrium Health, Charlotte, North Carolina, USA., Firmino RT; Department of Pediatric Dentistry, Dental School, Federal University of Minas Gerais, Belo Horizonte, Brazil.; UNIFACISA, Campina Grande, Brazil; and Department of Pediatric Dentistry, Dental School, Federal University of Minas Gerais, Belo Horizonte, Brazil., Kilmartin C; University of Toronto, Toronto, Canada., Cahill TJ; Oxford Heart Centre, Oxford University Hospitals NHS Foundation Trust, Oxford, UK., Dayer M; Department of Cardiology, Somerset Foundation Trust, Taunton, Somerset, UK., Occhi-Alexandre IGP; Department of Pediatric Dentistry, Dental School, Federal University of Minas Gerais, Belo Horizonte, Brazil.; Faculty Herrero, Curitiba, Brazil., Lai H; Evidence-Based Social Science Research Center, School of Public Health, Lanzhou University, Lanzhou, China., Ge L; Evidence-Based Social Science Research Center, School of Public Health, Lanzhou University, Lanzhou, China., Thornhill MH; Department of Oral Medicine/Oral & Maxillofacial Surgery, Carolinas Medical Center, Atrium Health, Charlotte, North Carolina, USA.; Department of Oral and Maxillofacial Medicine, Surgery and Pathology, School of Clinical Dentistry, University of Sheffield, Sheffield, UK.
Jazyk: angličtina
Zdroj: Oral diseases [Oral Dis] 2024 Apr; Vol. 30 (3), pp. 846-854. Date of Electronic Publication: 2023 Mar 29.
DOI: 10.1111/odi.14531
Abstrakt: To evaluate the timing, duration and incidence of bacteremia following invasive dental procedures (IDPs) or activities of daily living (ADL). Eight databases were searched for randomized (RCTs) and nonrandomized controlled trials (nRCTs) evaluating bacteremia before and after IDPs or ADL in healthy individuals. The risk of bias was assessed by RoB 2.0 and ROBINS-I. For the meta-analysis, the primary outcomes were the timing and duration of bacteremia. The secondary outcome was the incidence of bacteremia, measuring the proportion of patients with bacteremia within 5 min after the end of the procedure compared with baseline. We included 64 nRCTs and 25 RCTs. Peak bacteremia occurred within 5 min after the procedure and then decreased over time. Dental extractions showed the highest incidence of bacteremia (62%-66%), followed by scaling and root planing (SRP) (44%-36%) and oral health procedures (OHP) (e.g., dental prophylaxis and dental probing without SRP) (27%-28%). Other ADL (flossing and chewing) (16%) and toothbrushing (8%-26%) resulted in bacteremia as well. The majority of studies had some concerns RCTs or moderate risk of bias nRCTs. Dental extractions, SRP and OHP, are associated with the highest frequency of bacteremia. Toothbrushing, flossing, and chewing also caused bacteremia in lower frequency.
(© 2023 Wiley Periodicals LLC.)
Databáze: MEDLINE
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