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Do you recommend antibiotic prophylaxis for an ESKD patient with a tunneled dialysis catheter who is planned for a dental procedure?

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Do you recommend antibiotic prophylaxis for an ESKD patient with a tunneled dialysis catheter who is planned for a dental procedure?

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2 Answers
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Nephrology · University Of California San Francisco Medical Center At Parnassus
Answered on

I do not. Which procedures require antibiotic prophylaxis has always been a very confusing issue for me. It also seems to change often. However, with dental procedures, the main organism responsible for bacteremia is streptococcus of viridans group which is an unlikely cause of line infection. I thi...

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Mednet Member
Mednet MemberInvited Expert
Nephrology · LSU
Answered on · Updated on

Dental procedures are associated with both transient bacteremia and endocarditis, likely from the tissue trauma that opens up small blood vessels to bacterial entry. The oral cavity, with its multitude of microorganisms, is a particularly good source for bacteremia when invasive procedures are perfo...

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