Open AccessInfective Endocarditis Caused by Oral Microorganisms and Entrance Door and Previous Dental Procedures: Does a Relationship Exists?
Author(s) -
Manuel Anguita Sánchez,
Juan Carlos Castillo,
Manuel Anguita Sánchez,
Manuela Herrera,
Manuel Concha Ruiz,
Paula Anguita,
Victoria Bonilla
Publication year - 2020
Publication title -
dental oral biology and craniofacial research.
Language(s) - English
Resource type - Journals
ISSN - 2613-4950
DOI - 10.31487/j.dobcr.2020.02.10
Subject(s) - medicine , etiology , endocarditis , infective endocarditis , streptococcus , dentistry , oral and maxillofacial pathology , single center , viridans streptococci , epidemiology , antibiotics , microbiology and biotechnology , biology , bacteria , genetics
There are no recent studies that have evaluated the epidemiological relationship between dentalmanipulations the etiology of IE by these microorganisms, basically Streptococcus viridans. Our objectiveis to analyse the relationship between these variables and the possible therapeutic implications. For this, wehave analysed a prospective single-center series of IE in patients not addicted to parenteral drugs collectedand followed between 1987 and 2018. 403 cases of native and late prosthetic IE were diagnosed andfollowed up in our center. Of them, 91 were produced by oral streptococci (22.6%). The percentage of thismicroorganism has remained constant throughout the 30 years (24.8% of the cases from 1987-1997, 25%of those from 1998-2007 and 19.1% from 2008-2018. Although there was a history of dental manipulationin a greater proportion in cases of IE due to Streptococcus viridans (24% vs. 6.5%, p <0.001), in most casesdue to Streptococcus viridans (76% of them) there was no previous dental manipulation. In these cases, theinfection may be due to the usual daily manipulations of the mouth (brushing, dental floss) or periodontaldisease. Given this low sensitivity, it cannot be ruled out that IE is caused by this microorganism in theabsence of a history of visiting the dentist, with the implications for empirical antibiotic treatment that thisentails