Modern aspects of prevention of bacteremia in patients with chronic rheumatoid heart disease in dental practice
Chronic rheumatic heart disease (CRHD) occurs as a result of a severe acute rheumatic fever with heart failure as a result of inflammation caused by β-hemolytic group A streptococcus due to the slowing down of the immune response to streptococcal infection and the further development of boundary fibrosis and sclerosis of the connective tissue of the valvular heart. Approximately 60 % of patients with acute rheumatic fever have, with time, CRHD, with the highest frequency of valvular heart disease within 1–3 years of the first attack of acute rheumatic fever .
The aim of the study – to present to dentists modern aspects of prevention of transient bacteremia in patients with chronic rheumatic heart disease (CRHD), as well as recommendations to accompany this dispensary group at the reception of a dentist.
Materials and Methods. A review and analysis of the scientific and medical literature for 2008–2018, reporting materials of methodological and scientific organizations, current regulatory documents. The main directions for the prevention of complications of the course of chronic respiratory distress syndrome associated with medical interventions, in particular the provision of dental care, accompaniment to persons with dental diseases are highlighted.
Results and Discussion. The issues of the need to update dental approaches in the therapeutic accompaniment of patients with chronic rheumatic heart disease were considered. Presents modern schemes of antimicrobial prophylaxis and regulatory documents for dental interventions, taking into account the risks of transient bacteremia.
Conclusions. Due to the growing share of complications of chronic rheumatic heart disease associated with medical intervention, the individualization of dental prophylaxis of transient bacteremia in these patients becomes crucial. Therefore, in order to achieve a high level of dental sanitation, it is necessary to improve the measures of specific and nonspecific prevention of transient bacteremia, which is extremely important for preventing the progression of complications of chronic rheumatic heart disease.
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