https://en.wikivet.net/index.php?title=Antibiotics_for_Oral_Disease&feed=atom&action=historyAntibiotics for Oral Disease - Revision history2024-03-28T23:38:02ZRevision history for this page on the wikiMediaWiki 1.35.0https://en.wikivet.net/index.php?title=Antibiotics_for_Oral_Disease&diff=171195&oldid=prevBara at 13:43, 2 November 20142014-11-02T13:43:19Z<p></p>
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<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Antibiotic Use==</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Antibiotic Use==</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Antibiotics|Antimicrobial agents]] have been extensively used (in both human and veterinary medicine) for more than half a century and the potential and limitations of this therapy are now better understood.<br><br></div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Antibiotics|Antimicrobial agents]] have been extensively used (in both human and veterinary medicine) for more than half a century and the potential and limitations of this therapy are now better understood.<br><br></div></td></tr>
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</table>Barahttps://en.wikivet.net/index.php?title=Antibiotics_for_Oral_Disease&diff=170940&oldid=prevBara at 10:28, 30 October 20142014-10-30T10:28:47Z<p></p>
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</table>Barahttps://en.wikivet.net/index.php?title=Antibiotics_for_Oral_Disease&diff=170561&oldid=prevBara at 17:24, 21 October 20142014-10-21T17:24:44Z<p></p>
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</table>Barahttps://en.wikivet.net/index.php?title=Antibiotics_for_Oral_Disease&diff=170560&oldid=prevBara: /* Preventive Use of Antibiotics */2014-10-21T17:24:00Z<p><span dir="auto"><span class="autocomment">Preventive Use of Antibiotics</span></span></p>
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<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*'''Chronic [[stomatitis]]'''<br><br></div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*'''Chronic [[stomatitis]]'''<br><br></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>The choice of prophylactic antibiotic and protocol remains controversial. A wide variety of microorganisms is found in the flora of the mouth and saliva. Antibiotic prophylaxis requires a drug with antimicrobial activity against '''Gram-positive and Gram-negative aerobes and anaerobes'''. The timing of administration of antibiotics is critical. It is generally accepted that antibiotics should be administered '''within 2 hours of the surgery''' and '''not continued for more than 4 hours after the procedure''' <ref name="Peterson">Peterson, L.J. (1994) '''Principles of antibiotic therapy.''' In:Topazian, R.G. & Goldberg, M.H. (eds) ''Oral and Maxillofacial Infections'', 3rd edn. Philadelphia:W.B.Saunders, p. 160-197.</ref></div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>The choice of prophylactic antibiotic and protocol remains controversial. A wide variety of microorganisms is found in the flora of the mouth and saliva. Antibiotic prophylaxis requires a drug with antimicrobial activity against '''Gram-positive and Gram-negative aerobes and anaerobes'''. The timing of administration of antibiotics is critical. It is generally accepted that antibiotics should be administered '''within 2 hours of the surgery''' and '''not continued for more than 4 hours after the procedure''' <ref name="Peterson">Peterson, L.J. (1994) '''Principles of antibiotic therapy.''' In:Topazian, R.G. & Goldberg, M.H. (eds) ''Oral and Maxillofacial Infections'', 3rd edn. Philadelphia:W.B.Saunders, p. 160-197.</ref></div></td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><ref name="Callender">Callender, D.L. (1999) '''Antibiotic prophylaxis in head and neck oncologic surgery: the role of Gram- negative coverage.''''' International Journal of Antimicrobial Agents'' 12 (Suppl. 1): S21–S25.</ref>. In addition, antibiotics must be given at a '''high enough dose''' to reach a tissue level four times higher than the MIC of the causative organisms. A number of studies have shown that ampicillin, amoxicillin-clavulanic acid, certain [[cephalosporins]] and [[Macrolides and Lincosamides|clindamycin]] meet the above requirements in dogs, cats and humans <<del class="diffchange diffchange-inline">font color</del>="<del class="diffchange diffchange-inline">red</del>"><del class="diffchange diffchange-inline">(Callender</del>, <del class="diffchange diffchange-inline">1999; Johnson </del>et al<del class="diffchange diffchange-inline">, </del>1997<del class="diffchange diffchange-inline">; </del>Harvey <del class="diffchange diffchange-inline">et al</del>, 1995a<del class="diffchange diffchange-inline">; </del>Harvey <del class="diffchange diffchange-inline">et al</del>, 1995b<del class="diffchange diffchange-inline">; </del>Mueller et al<del class="diffchange diffchange-inline">, </del>1999).</<del class="diffchange diffchange-inline">font color</del>></div></td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ref name="Callender">Callender, D.L. (1999) '''Antibiotic prophylaxis in head and neck oncologic surgery: the role of Gram- negative coverage.''''' International Journal of Antimicrobial Agents'' 12 (Suppl. 1): S21–S25.</ref>. In addition, antibiotics must be given at a '''high enough dose''' to reach a tissue level four times higher than the MIC of the causative organisms. A number of studies have shown that ampicillin, amoxicillin-clavulanic acid, certain [[cephalosporins]] and [[Macrolides and Lincosamides|clindamycin]] meet the above requirements in dogs, cats and humans <<ins class="diffchange diffchange-inline">ref name</ins>="<ins class="diffchange diffchange-inline">Callender</ins>" <ins class="diffchange diffchange-inline">/><ref</ins>><ins class="diffchange diffchange-inline">Johnson, J.T., Kachman, K., Wagner</ins>, <ins class="diffchange diffchange-inline">R.L. </ins>et al <ins class="diffchange diffchange-inline">(</ins>1997<ins class="diffchange diffchange-inline">) '''Comparison of ampicillin/sulbactam versus clindamycin in the prevention of infection in patients undergoing head and neck surgery.''''' Head Neck'' 19: 367–371.</ref><ref></ins>Harvey, <ins class="diffchange diffchange-inline">C.E., Thornsberry, C., Miller, B.R., Shafer, F.S. (</ins>1995a<ins class="diffchange diffchange-inline">) '''Antimicrobial susceptibility of subgingival bacterial flora in dogs with gingivitis. '''''Journal of Veterinary Dentistry'' 12(4): 151–155.</ref><ref></ins>Harvey, <ins class="diffchange diffchange-inline">C.E., Thornsberry, C., Miller, B.R., Shafer, F.S.(</ins>1995b<ins class="diffchange diffchange-inline">)''' Antimicrobial susceptibility of subgingival bacterial flora in cats with gingivitis. '''''Journal of Veterinary Dentistry'' 12(4): 157–160.</ref><ref></ins>Mueller<ins class="diffchange diffchange-inline">, S.C., Henkel, K.O., Neumann, J. </ins>et al <ins class="diffchange diffchange-inline">(</ins>1999) <ins class="diffchange diffchange-inline">'''Perioperative antibiotic prophylaxis in maxillofacial surgery: penetration of clindamycin into various tissues</ins>.<ins class="diffchange diffchange-inline">''''' Journal of craniomaxillofacial surgery ''27: 172-176</ins></<ins class="diffchange diffchange-inline">ref</ins>></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>A standard protocol often consists of ampicillin prior to surgery (at the time of catheter placement for anaesthesia), repeated after 6 hours if the catheter is still in place. Metronidazole is given intravenously in addition to ampicillin in the presence of severe infection to ensure a wider anaerobic spectrum.</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>A standard protocol often consists of ampicillin prior to surgery (at the time of catheter placement for anaesthesia), repeated after 6 hours if the catheter is still in place. Metronidazole is given intravenously in addition to ampicillin in the presence of severe infection to ensure a wider anaerobic spectrum.</div></td></tr>
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</table>Barahttps://en.wikivet.net/index.php?title=Antibiotics_for_Oral_Disease&diff=170559&oldid=prevBara at 17:18, 21 October 20142014-10-21T17:18:37Z<p></p>
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<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*'''Gross infection'''</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*'''Gross infection'''</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*'''Chronic [[stomatitis]]'''<br><br></div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*'''Chronic [[stomatitis]]'''<br><br></div></td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>The choice of prophylactic antibiotic and protocol remains controversial. A wide variety of microorganisms is found in the flora of the mouth and saliva. Antibiotic prophylaxis requires a drug with antimicrobial activity against '''Gram-positive and Gram-negative aerobes and anaerobes'''. The timing of administration of antibiotics is critical. It is generally accepted that antibiotics should be administered '''within 2 hours of the surgery''' and '''not continued for more than 4 hours after the procedure''' <<del class="diffchange diffchange-inline">font color</del>="<del class="diffchange diffchange-inline">red</del>"><del class="diffchange diffchange-inline">(</del>Peterson, 1994<del class="diffchange diffchange-inline">; </del>Callender, 1999)</<del class="diffchange diffchange-inline">font color</del>>. In addition, antibiotics must be given at a '''high enough dose''' to reach a tissue level four times higher than the MIC of the causative organisms. A number of studies have shown that ampicillin, amoxicillin-clavulanic acid, certain [[cephalosporins]] and [[Macrolides and Lincosamides|clindamycin]] meet the above requirements in dogs, cats and humans <font color="red">(Callender, 1999; Johnson et al, 1997; Harvey et al, 1995a; Harvey et al, 1995b; Mueller et al, 1999).</font color></div></td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>The choice of prophylactic antibiotic and protocol remains controversial. A wide variety of microorganisms is found in the flora of the mouth and saliva. Antibiotic prophylaxis requires a drug with antimicrobial activity against '''Gram-positive and Gram-negative aerobes and anaerobes'''. The timing of administration of antibiotics is critical. It is generally accepted that antibiotics should be administered '''within 2 hours of the surgery''' and '''not continued for more than 4 hours after the procedure''' <<ins class="diffchange diffchange-inline">ref name</ins>="<ins class="diffchange diffchange-inline">Peterson</ins>">Peterson, <ins class="diffchange diffchange-inline">L.J. (</ins>1994<ins class="diffchange diffchange-inline">) '''Principles of antibiotic therapy.''' In:Topazian, R.G. & Goldberg, M.H. (eds) ''Oral and Maxillofacial Infections'', 3rd edn. Philadelphia:W.B.Saunders, p. 160-197.</ref></ins></div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline"><ref name="Callender"></ins>Callender, <ins class="diffchange diffchange-inline">D.L. (</ins>1999) <ins class="diffchange diffchange-inline">'''Antibiotic prophylaxis in head and neck oncologic surgery: the role of Gram- negative coverage.''''' International Journal of Antimicrobial Agents'' 12 (Suppl. 1): S21–S25.</ins></<ins class="diffchange diffchange-inline">ref</ins>>. In addition, antibiotics must be given at a '''high enough dose''' to reach a tissue level four times higher than the MIC of the causative organisms. A number of studies have shown that ampicillin, amoxicillin-clavulanic acid, certain [[cephalosporins]] and [[Macrolides and Lincosamides|clindamycin]] meet the above requirements in dogs, cats and humans <font color="red">(Callender, 1999; Johnson et al, 1997; Harvey et al, 1995a; Harvey et al, 1995b; Mueller et al, 1999).</font color></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>A standard protocol often consists of ampicillin prior to surgery (at the time of catheter placement for anaesthesia), repeated after 6 hours if the catheter is still in place. Metronidazole is given intravenously in addition to ampicillin in the presence of severe infection to ensure a wider anaerobic spectrum.</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>A standard protocol often consists of ampicillin prior to surgery (at the time of catheter placement for anaesthesia), repeated after 6 hours if the catheter is still in place. Metronidazole is given intravenously in addition to ampicillin in the presence of severe infection to ensure a wider anaerobic spectrum.</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr>
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<td colspan="2" class="diff-lineno">Line 31:</td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Empirical drug choice based on published studies of the nature of oral infections is usual, with culture and sensitivity being reserved for problem cases.</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Empirical drug choice based on published studies of the nature of oral infections is usual, with culture and sensitivity being reserved for problem cases.</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Antibiotics are not indicated in the treatment of [[gingivitis]]. Their role in [[Periodontal Disease|periodontitis]] is doubtful and is definitely secondary to conservative periodontal therapy.</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Antibiotics are not indicated in the treatment of [[gingivitis]]. Their role in [[Periodontal Disease|periodontitis]] is doubtful and is definitely secondary to conservative periodontal therapy.</div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;"></ins></div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">==References==</ins></div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;"><references /></ins></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:Dental and Oral Medication]]</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:Dental and Oral Medication]]</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:To Do - Dentistry questions]]</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:To Do - Dentistry questions]]</div></td></tr>
</table>Barahttps://en.wikivet.net/index.php?title=Antibiotics_for_Oral_Disease&diff=155574&oldid=prevBara at 16:26, 22 August 20132013-08-22T16:26:07Z<p></p>
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<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 16:26, 22 August 2013</td>
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<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:Dental and Oral Medication]]</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:Dental and Oral Medication]]</div></td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>[[Category:To Do - Dentistry <del class="diffchange diffchange-inline">Images</del>]]</div></td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>[[Category:To Do - Dentistry <ins class="diffchange diffchange-inline">questions</ins>]]</div></td></tr>
</table>Barahttps://en.wikivet.net/index.php?title=Antibiotics_for_Oral_Disease&diff=154435&oldid=prevGgaitskell: /* Therapeutic Use of Antibiotics */2013-06-24T08:18:38Z<p><span dir="auto"><span class="autocomment">Therapeutic Use of Antibiotics</span></span></p>
<table class="diff diff-contentalign-left diff-editfont-monospace" data-mw="interface">
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<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td>
<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 08:18, 24 June 2013</td>
</tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l22" >Line 22:</td>
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<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#'''The antibiotic with the narrowest antibacterial spectrum should be used.''' This will minimize the risk of development of resistant bacteria.</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#'''The antibiotic with the narrowest antibacterial spectrum should be used.''' This will minimize the risk of development of resistant bacteria.</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#'''Combinations of antibiotics are discouraged.''' The exception to this rule is the combination of amoxicillin or cephalosporins with metronidazole in severe mixed infections in which anaerobes are believed to play a major role.</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#'''Combinations of antibiotics are discouraged.''' The exception to this rule is the combination of amoxicillin or cephalosporins with metronidazole in severe mixed infections in which anaerobes are believed to play a major role.</div></td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>#'''A bactericidal antibiotic is preferable to a bacteriostatic agent'''. A bactericidal antibiotic (amoxicillin, cephalosporins and metronidazole) is <del class="diffchange diffchange-inline">preferred over </del>a bacteriostatic antibiotic (clindamycin), mainly because there is less reliance on host inflammatory and immune reactions. Other considerations include the toxicity of the antibiotic and the patient’s history of previous allergic reactions to a particular antibiotic.</div></td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>#'''A bactericidal antibiotic is preferable to a bacteriostatic agent'''. A bactericidal antibiotic (amoxicillin, cephalosporins and metronidazole) is <ins class="diffchange diffchange-inline">preferable to </ins>a bacteriostatic antibiotic (clindamycin), mainly because there is less reliance on host inflammatory and immune reactions. Other considerations include the toxicity of the antibiotic and the patient’s history of previous allergic reactions to a particular antibiotic.</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#'''The antibiotic of choice must be administered at the proper dose and correct time interval.''' Refer to a current compendium of data sheets for veterinary products for correct dosing and time interval. A seven-day course of antibiotics is generally recommended. Osteomyelitis generally requires a longer period of treatment. Suboptimal dosing and/or pulse therapy is not recommended.</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#'''The antibiotic of choice must be administered at the proper dose and correct time interval.''' Refer to a current compendium of data sheets for veterinary products for correct dosing and time interval. A seven-day course of antibiotics is generally recommended. Osteomyelitis generally requires a longer period of treatment. Suboptimal dosing and/or pulse therapy is not recommended.</div></td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>#'''The patient must be monitored for response to treatment and the potential development of adverse reactions.''' Re-evaluation of the diagnosis is required if there is no response to treatment. Culture and antibiogram may <del class="diffchange diffchange-inline">well </del>be indicated. Minor adverse reactions, e.g. mild gastrointestinal side effects and inappetance, due to changes in the gut flora as a result of systemic treatment with amoxicillin and clindamycin, occasionally occur.</div></td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>#'''The patient must be monitored for response to treatment and the potential development of adverse reactions.''' Re-evaluation of the diagnosis is required if there is no response to treatment. Culture and antibiogram may be indicated. Minor adverse reactions, e.g. mild gastrointestinal side effects and inappetance, due to changes in the gut flora as a result of systemic treatment with amoxicillin and clindamycin, occasionally occur.</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Summary==</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Summary==</div></td></tr>
</table>Ggaitskellhttps://en.wikivet.net/index.php?title=Antibiotics_for_Oral_Disease&diff=154434&oldid=prevGgaitskell: /* Preventive Use of Antibiotics */2013-06-24T08:09:38Z<p><span dir="auto"><span class="autocomment">Preventive Use of Antibiotics</span></span></p>
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<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 08:09, 24 June 2013</td>
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<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*'''Chronic [[stomatitis]]'''<br><br></div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*'''Chronic [[stomatitis]]'''<br><br></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>The choice of prophylactic antibiotic and protocol remains controversial. A wide variety of microorganisms is found in the flora of the mouth and saliva. Antibiotic prophylaxis requires a drug with antimicrobial activity against '''Gram-positive and Gram-negative aerobes and anaerobes'''. The timing of administration of antibiotics is critical. It is generally accepted that antibiotics should be administered '''within 2 hours of the surgery''' and '''not continued for more than 4 hours after the procedure''' <font color="red">(Peterson, 1994; Callender, 1999)</font color>. In addition, antibiotics must be given at a '''high enough dose''' to reach a tissue level four times higher than the MIC of the causative organisms. A number of studies have shown that ampicillin, amoxicillin-clavulanic acid, certain [[cephalosporins]] and [[Macrolides and Lincosamides|clindamycin]] meet the above requirements in dogs, cats and humans <font color="red">(Callender, 1999; Johnson et al, 1997; Harvey et al, 1995a; Harvey et al, 1995b; Mueller et al, 1999).</font color></div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>The choice of prophylactic antibiotic and protocol remains controversial. A wide variety of microorganisms is found in the flora of the mouth and saliva. Antibiotic prophylaxis requires a drug with antimicrobial activity against '''Gram-positive and Gram-negative aerobes and anaerobes'''. The timing of administration of antibiotics is critical. It is generally accepted that antibiotics should be administered '''within 2 hours of the surgery''' and '''not continued for more than 4 hours after the procedure''' <font color="red">(Peterson, 1994; Callender, 1999)</font color>. In addition, antibiotics must be given at a '''high enough dose''' to reach a tissue level four times higher than the MIC of the causative organisms. A number of studies have shown that ampicillin, amoxicillin-clavulanic acid, certain [[cephalosporins]] and [[Macrolides and Lincosamides|clindamycin]] meet the above requirements in dogs, cats and humans <font color="red">(Callender, 1999; Johnson et al, 1997; Harvey et al, 1995a; Harvey et al, 1995b; Mueller et al, 1999).</font color></div></td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>A standard protocol often consists of ampicillin prior to surgery (at the time of catheter placement for <del class="diffchange diffchange-inline">anesthesia</del>) <del class="diffchange diffchange-inline">and </del>repeated after 6 hours if the catheter is still in place. Metronidazole is given intravenously in addition to ampicillin in the presence of severe infection to ensure a wider anaerobic spectrum.</div></td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>A standard protocol often consists of ampicillin prior to surgery (at the time of catheter placement for <ins class="diffchange diffchange-inline">anaesthesia</ins>)<ins class="diffchange diffchange-inline">, </ins>repeated after 6 hours if the catheter is still in place. Metronidazole is given intravenously in addition to ampicillin in the presence of severe infection to ensure a wider anaerobic spectrum.</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Therapeutic Use of Antibiotics==</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Therapeutic Use of Antibiotics==</div></td></tr>
</table>Ggaitskellhttps://en.wikivet.net/index.php?title=Antibiotics_for_Oral_Disease&diff=154433&oldid=prevGgaitskell: /* Antibiotic Use */2013-06-24T08:01:07Z<p><span dir="auto"><span class="autocomment">Antibiotic Use</span></span></p>
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<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 08:01, 24 June 2013</td>
</tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l1" >Line 1:</td>
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<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Antibiotic Use==</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Antibiotic Use==</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Antibiotics|Antimicrobial agents]] have been extensively used (in both human and veterinary medicine) for more than half a century and the potential and limitations of this therapy are now better understood.<br><br></div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Antibiotics|Antimicrobial agents]] have been extensively used (in both human and veterinary medicine) for more than half a century and the potential and limitations of this therapy are now better understood.<br><br></div></td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>Problems, resulting from the widespread use of [[antibiotics]], have modified the general perception of the capabilities of antimicrobial agents. Over the years, [[:Category:Bacteria|bacteria]] have developed a marked ability to withstand or repel many antibiotic agents. Bacteria are increasingly resistant to many formerly potent agents. The use of antibiotics may disturb the delicate ecologic equilibrium of the body, allowing the proliferation of resistant bacteria and/or nonbacterial organisms. Sometimes this may initiate new infections that are worse than the ones originally treated. In addition, no antibacterial drug is completely <del class="diffchange diffchange-inline">nontoxic </del>and the use of any antimicrobial agent <del class="diffchange diffchange-inline">will have </del>accompanying risks. It must also be remembered that '''resistant bacteria can cross the species barrier'''. Antibiotics and [[Antiseptics for Oral Disease|antiseptics]] have a role to play in the management of oral diseases, but their use should be limited and selective.<br><br></div></td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>Problems, resulting from the widespread use of [[antibiotics]], have modified the general perception of the capabilities of antimicrobial agents. Over the years, [[:Category:Bacteria|bacteria]] have developed a marked ability to withstand or repel many antibiotic agents. Bacteria are increasingly resistant to many formerly potent agents. The use of antibiotics may disturb the delicate ecologic equilibrium of the body, allowing the proliferation of resistant bacteria and/or nonbacterial organisms. Sometimes this may initiate new infections that are worse than the ones originally treated. In addition, no antibacterial drug is completely <ins class="diffchange diffchange-inline">non-toxic </ins>and the use of any antimicrobial agent <ins class="diffchange diffchange-inline">has </ins>accompanying risks. It must also be remembered that '''resistant bacteria can cross the species barrier'''. Antibiotics and [[Antiseptics for Oral Disease|antiseptics]] have a role to play in the management of oral diseases, but their use should be limited and selective.<br><br></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Dosing regimens and strategies that lead to optimal efficacy of antimicrobial agents must be implemented. Antibiotics can be used for prevention and for therapy.</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Dosing regimens and strategies that lead to optimal efficacy of antimicrobial agents must be implemented. Antibiotics can be used for prevention and for therapy.</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr>
</table>Ggaitskellhttps://en.wikivet.net/index.php?title=Antibiotics_for_Oral_Disease&diff=154050&oldid=prevBara: /* Summary */2013-06-10T16:15:15Z<p><span dir="auto"><span class="autocomment">Summary</span></span></p>
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<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 16:15, 10 June 2013</td>
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<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:Dental and Oral Medication]]</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:Dental and Oral Medication]]</div></td></tr>
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</table>Bara