Guest guest Posted January 20, 2012 Report Share Posted January 20, 2012 Do we give antibiotics after dental extraction to patients with Haemophilia According to scully 5th edition in 2005 we give penicillin v 250 mg or amoxicillin 500 mg 4 times daily for 7 days to reduce secondary haemorrhage What do u think?? that's ORE question Balsam Sent from my iPhone Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 26, 2012 Report Share Posted January 26, 2012 apparently yes this is the case Scully says that . Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 2, 2012 Report Share Posted March 2, 2012 Lust found this article...not sure if it s up to date enough, as guidelines keep chancing, but it seemed ok: http://www.wfh.org/2/docs/Publications/Dental_Care/TOH-40_Dental_treatment.pdf I have copied and pasted an exert that seems relevant: 4. Post-operative period The patient must be given detailed postoperative instructions: • No mouth rinsing for 24 hours; • No smoking for 24 hours; • Soft diet for 24 hours; • No strenuous activities for 24 hours; • Prescribed medication must be taken as instructed; • Analgesia should be prescribed for use if required; • Salt-water mouthwashes (1 teaspoon of salt in a glass of warm water) should be used four times a day starting the day after the extraction for 7 days [27]; • Antibacterial mouthwash may be used; • Emergency contact details must be given to the patient in case of problems. Post-extraction hemorrhage Careful pre-operative planning and the use of antifibrinolytic agents will prevent many postoperative problems [28]. However, postextraction bleeding will occur on occasion. If post-extraction hemorrhage occurs: Contact the hemophilia unit and consider using additional factor concentrate. Inspect the site of the bleed. If there is any evidence of a tear in the gingiva or other obvious bleeding point this should be treated using local measures as previously described. If anyone knows otherwise, let us know... Cheers And From: Balsam_Majid <balsam_majid@...>Subject: Haemophilia Date: Friday, 2 March, 2012, 11:15 According to scully 6th we give oral pencillin V or amoxicillin post operatively to reduce risk of secondary haemorrhage after extraction for patients with haemophilia ., infections induce fibrinolysis.Although I heard that no antibiotics is given as prophylaxis unless there is systemic involvement . What do u think mates? Is there any updated website to check that in?Many thanks Balsam Sent from my iPad Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 2, 2012 Report Share Posted March 2, 2012 Hi, Many thanks Ana, and balsam, as far as i know , no Ab required unless presence of preoperative infection . plz correct me if wrong. Ahmed. From: Ana carolina Soares dunlop <anadunlop@...> Sent: Friday, 2 March 2012, 14:17Subject: Fw: Re: Haemophilia Lust found this article...not sure if it s up to date enough, as guidelines keep chancing, but it seemed ok: http://www.wfh.org/2/docs/Publications/Dental_Care/TOH-40_Dental_treatment.pdf I have copied and pasted an exert that seems relevant: 4. Post-operative period The patient must be given detailed postoperative instructions: • No mouth rinsing for 24 hours; • No smoking for 24 hours; • Soft diet for 24 hours; • No strenuous activities for 24 hours; • Prescribed medication must be taken as instructed; • Analgesia should be prescribed for use if required; • Salt-water mouthwashes (1 teaspoon of salt in a glass of warm water) should be used four times a day starting the day after the extraction for 7 days [27]; • Antibacterial mouthwash may be used; • Emergency contact details must be given to the patient in case of problems. Post-extraction hemorrhage Careful pre-operative planning and the use of antifibrinolytic agents will prevent many postoperative problems [28]. However, postextraction bleeding will occur on occasion. If post-extraction hemorrhage occurs: Contact the hemophilia unit and consider using additional factor concentrate. Inspect the site of the bleed. If there is any evidence of a tear in the gingiva or other obvious bleeding point this should be treated using local measures as previously described. If anyone knows otherwise, let us know... Cheers And From: Balsam_Majid <balsam_majid@...>Subject: Haemophilia Date: Friday, 2 March, 2012, 11:15 According to scully 6th we give oral pencillin V or amoxicillin post operatively to reduce risk of secondary haemorrhage after extraction for patients with haemophilia ., infections induce fibrinolysis.Although I heard that no antibiotics is given as prophylaxis unless there is systemic involvement . What do u think mates? Is there any updated website to check that in?Many thanks Balsam Sent from my iPad Quote Link to comment Share on other sites More sharing options...
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