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Originally posted by Relentless
I really have to wonder about this one. It just doesn't make any sense to say the risks of antibiotics outweigh the benefits in these cases.
First of all, the people who are prescribed antibiotics for dental procedures are those diagnosed wiht a pre-exisiting conditions such as mitral valve prolapse or a stent, something that can cause the bacteria that enters the blood stream during a dental procedure to get caught in a heart that might have something to prevent the bacteria from passing through cleanly.
Most of these people by the time they have a need for this antibiotic use are of an age where they already know whether or not they need to avoid penicillin, in which case another antibiotic can be used.
In addition, it is normally used as a preventative, not a normal run (7 - 10 days) for an existing bacterial infection. Usually taking a dose prior to the procedure, just as now it is common (at least in the US) to give you a shot of antibiotic just prior to surgery.
No evidence that it prevents? All I know is the only reason my DH's MVP was diagnosed was because he developed a heart problem after a routine dental cleaning. It was quite frightening and ultimately led to them discovering the MVP, at which point he was put on the protocol. He is also now stuck forever on heart regulation medication that he cannot ever stop. How many of you are aware that once you are put on a heart regulation medication it is considered to risky to ever stop them again? So one incident that required heart regulation, once resolved leaves you forever on medication that seriously impacts your life.
Quite frankly I see a lot more suspicious activity in the attacks of antibiotics over the past few years. Compared to all the other drugs prescribed like candy as preventatives (statins, BP medications, etc.) the side affects of antibiotics are lame and all the hoopla making Drs. hold off on prescribing them are causing more and more infections occur and to go to far instead of nipping it in the bud. That's been my experience and I have seen way too many cases of this in family and friends.
Originally posted by TaupeDragon
Yup - a big shot one hour pre-op. Not worried about resistance so much, which you could get on a 7-10 day course, rather the anaphyalxis thing to a big dose.
There is no evidence about whether penicillin prophylaxis is effective or ineffective against bacterial endocarditis in people at risk who are about to undergo an invasive dental procedure. There is a lack of evidence to support published guidelines in this area. It is not clear whether the potential harms and costs of penicillin administration outweigh any beneficial effect.
Originally posted by Deharg
Amoxycillin costs tuppence a bucket so who makes what money get real....
Amoxycillin or penecillin V or Beta Lactam drugs in general and Streptococcal
resistance. Go look it up ....lol
Love the links though .....
Remember guys MDs are medics they use medicines. Science is something different.