Saudi Journal of Kidney Diseases and Transplantation

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 30  |  Issue : 4  |  Page : 764--768

Adequacy of infective endocarditis prophylaxis before dental procedures among solid organ transplant recipients


Emir Karacaglar1, Arzu Akgun1, Orcun Ciftci1, Nur Altiparmak2, Haldun Muderrisoglu1, Mehmet Haberal3 
1 Department of Cardiology, Baskent University, Ankara, Turkey
2 Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Baskent University, Ankara, Turkey
3 Department of General Surgery, Division of Transplantation, Baskent University, Ankara, Turkey

Correspondence Address:
Emir Karacaglar
Department of Cardiology, Baskent University School of Medicine, Ankara
Turkey

Infective endocarditis (IE) is a life-threatening condition with high morbidity and mortality. The current IE guidelines recommend antibiotic prophylaxis only in patients with certain cardiac conditions and before certain dental procedures. However, there is not enough data about solid organ transplant (SOT) recipients. In this study, we aimed to investigate the IE prophylaxis in general dental and periodontal surgical procedures among our SOT recipients. Medical records of 191 SOT recipients (32 liver transplant recipients, 54 heart transplant recipients, and 105 kidney transplant recipients) who were admitted to our hospital between January 2016 and January 2018 were evaluated. A total of 65 patients who underwent dental procedures were included in the study. We investigated the adequacy of IE prophylaxis according to the current guidelines. Two groups were created according to whether they received antibiotic prophylaxis or not. The mean age was 44.2 ± 13.6 years, and 66.1% were male. The majority of patients (67.6%) received antibiotic prophylaxis. The most commonly used antibiotic was amoxicillin (48.8%). Among the procedures, 23.1% were classified as invasive and 76.9% were classified as noninvasive. No complication was observed after invasive and noninvasive dental procedures. There were no complications in both antibiotic prophylaxis and no-prophylaxis groups. According to our results, IE prophylaxis has been used appropriately in SOT recipients in our center. No serious infection has been reported. In addition, no complication due to antibiotic use was also observed.


How to cite this article:
Karacaglar E, Akgun A, Ciftci O, Altiparmak N, Muderrisoglu H, Haberal M. Adequacy of infective endocarditis prophylaxis before dental procedures among solid organ transplant recipients.Saudi J Kidney Dis Transpl 2019;30:764-768


How to cite this URL:
Karacaglar E, Akgun A, Ciftci O, Altiparmak N, Muderrisoglu H, Haberal M. Adequacy of infective endocarditis prophylaxis before dental procedures among solid organ transplant recipients. Saudi J Kidney Dis Transpl [serial online] 2019 [cited 2019 Sep 21 ];30:764-768
Available from: http://www.sjkdt.org/article.asp?issn=1319-2442;year=2019;volume=30;issue=4;spage=764;epage=768;aulast=Karacaglar;type=0