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Objectives: Oral infection control is important for patients undergoing cardiac valve replacement (CVR) as prophylaxis for postoperative complications. This study examined the changes in oral health status by preoperative periodontal treatment and its effects on postsurgical complications in CVR patients.

Material and Methods: We recruited 64 patients undergoing CVR who received preoperative periodontal treatment at our hospital as the intervention group and retrospectively reviewed the medical records of 38 patients who had undergone CVR surgery without dental intervention as the control group. Oral health status was assessed at the first visit to our dental office, 1 day before surgery, and >7 days after surgery. Days of high fever, antibiotics use, and postoperative hospitalization were recorded for the intervention and control groups for statistical comparisons.

Results: In the intervention group, oral health status significantly improved from the initial visit to >7 days after surgery. There were significantly fewer days of high fever (>37.5°C) in the intervention group than in the control group, with comparable results for other events.

Conclusions: This study's findings suggest that preoperative periodontal treatment can improve oral health status surrounding CVR surgery and could be the contributor of the reduction in the risk of postoperative infection.

Titel:	Preoperative periodontal treatment and its effects on postoperative infection in cardiac valve surgery.
Autor/in / Beteiligte Person:	Suzuki, H ; Matsuo, K ; Okamoto, M ; Nakata, H ; Sakamoto, H ; Fujita, M
Link:	Full Text Finder (Volltext)
Zeitschrift:	Clinical and experimental dental research, Jg. 5 (2019-07-10), Heft 5, S. 485-490
Veröffentlichung:	Hoboken : Wiley, [2015]-, 2019
Medientyp:	academicJournal
ISSN:	2057-4347 (electronic)
DOI:	10.1002/cre2.212
Schlagwort:	Aged Case-Control Studies Female Follow-Up Studies Humans Male Middle Aged Postoperative Complications epidemiology Postoperative Complications etiology Prognosis Prospective Studies Surgical Wound Infection epidemiology Surgical Wound Infection etiology Survival Rate Anti-Bacterial Agents administration & dosage Cardiac Surgical Procedures adverse effects Dental Care standards Heart Valve Diseases surgery Postoperative Complications prevention & control Preoperative Care Surgical Wound Infection prevention & control
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Research Support, Non-U.S. Gov't Language: English [Clin Exp Dent Res] 2019 Jul 10; Vol. 5 (5), pp. 485-490. <i>Date of Electronic Publication: </i>2019 Jul 10 (<i>Print Publication: </i>2019). MeSH Terms: Preoperative Care* ; Anti-Bacterial Agents / administration & dosage ; Cardiac Surgical Procedures / adverse effects ; Dental Care / standards ; Heart Valve Diseases / surgery ; Postoperative Complications / prevention & control ; Surgical Wound Infection / prevention & control ; Aged ; Case-Control Studies ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Postoperative Complications / epidemiology ; Postoperative Complications / etiology ; Prognosis ; Prospective Studies ; Surgical Wound Infection / epidemiology ; Surgical Wound Infection / etiology ; Survival Rate References: BMC Infect Dis. 2009 Jun 29;9:104. (PMID: 19563632) ; Dysphagia. 2014 Dec;29(6):647-54. (PMID: 25119447) ; Intensive Care Med. 2014 Jan;40(1):23-31. (PMID: 23921979) ; Br J Surg. 2018 Nov;105(12):1688-1696. (PMID: 30088267) ; J Vasc Surg. 2012 Apr;55(4):1178-84. (PMID: 22244863) ; J Clin Periodontol. 2011 Jul;38(7):628-36. (PMID: 21470276) ; J Hosp Infect. 2006 Nov;64(3):224-30. (PMID: 16930769) ; Clin Exp Dent Res. 2019 Jul 10;5(5):485-490. (PMID: 31687181) ; Evid Based Dent. 2011;12(2):48. (PMID: 21701548) ; Semin Cardiothorac Vasc Anesth. 2010 Mar;14(1):38-40. (PMID: 20472621) ; J Gerontol Nurs. 2017 Apr 1;43(4):23-28. (PMID: 27845809) ; Chest. 2004 Nov;126(5):1575-82. (PMID: 15539730) ; Surgery. 2010 Apr;147(4):497-502. (PMID: 20004439) ; Int J Cardiol. 2014 Jul 1;174(3):710-2. (PMID: 24820755) ; J Am Geriatr Soc. 2001 May;49(5):557-63. (PMID: 11380747) ; Chest. 1996 Jun;109(6):1556-61. (PMID: 8769511) ; BMC Oral Health. 2014 Jun 16;14:72. (PMID: 24934646) ; JBI Database System Rev Implement Rep. 2016 Jan;14(1):140-73. (PMID: 26878926) ; J Dent Res. 2008 Apr;87(4):334-9. (PMID: 18362314) ; J Am Coll Cardiol. 2017 Jul 11;70(2):252-289. (PMID: 28315732) ; J Crit Care. 2014 Aug;29(4):574-9. (PMID: 24631168) ; Oral Microbiol Immunol. 2009 Feb;24(1):64-8. (PMID: 19121072) ; Nat Rev Immunol. 2015 Jan;15(1):30-44. (PMID: 25534621) ; Circulation. 2006 Feb 21;113(7):929-37. (PMID: 16490835) ; Intensive Care Med. 2009 Sep;35(9):1518-25. (PMID: 19557389) ; Circulation. 2008 Jun 17;117(24):3118-25. (PMID: 18541739) ; Medicine (Baltimore). 2015 Nov;94(47):e2067. (PMID: 26632711) ; Jpn J Nurs Sci. 2019 Jan;16(1):80-87. (PMID: 29947119) ; Chest. 2010 Mar;137(3):665-73. (PMID: 20202948) ; Am Heart J. 2012 Feb;163(2):164-7. (PMID: 22305832) ; Exp Ther Med. 2016 Sep;12(3):1922-1928. (PMID: 27588111) Contributed Indexing: Keywords: oral health care; perioperative oral hygienic management; ventilator‐associated pneumonia Substance Nomenclature: 0 (Anti-Bacterial Agents) Entry Date(s): Date Created: 20191106 Date Completed: 20201023 Latest Revision: 20231014 Update Code: 20231215 PubMed Central ID: PMC6820569

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Preoperative periodontal treatment and its effects on postoperative infection in cardiac valve surgery.