Transient bacteremia induced by dental cleaning is not associated with infection of central venous catheters in patients with cancer

Usmani, Saad Z.; Choquette, Linda; Bona, Robert; Feinn, Richard; Shahid, Zainab; Lalla, Rajesh V.

doi:10.1016/j.oooo.2017.12.022

Cited by 4 publications

(3 citation statements)

References 39 publications

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“…29–31 A study published in 2018, which evaluated human patients with central venous catheter placement as a result of an oncological medical condition, yielded no evidence of persistent bacteremia at 30-min and 24-h post-dental cleaning. 32 Transient bacteremia is also known to be short lived in healthy individuals, as much of the bacteremia can be eliminated by the host immune response alone. Recently, a study performed on equines with dental extractions explored bacteremia in the absence of antimicrobial administration, 33 but similar studies have not been conducted in companion animals.…”

Section: Introductionmentioning

confidence: 99%

The Presence of Bacteremia in 13 Dogs Undergoing Oral Surgery Without the Use of Antibiotic Therapy

Blazevich,

Miles

2023

J Vet Dent

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This study aimed to assess if transient bacteremia developed from dental scaling, root planing (SRP) and dental extraction(s), if the bacteria originated from oral flora, and if the amount of bacteremia produced would warrant the use of pre-, intra-, or post-operative antibiotic therapy in healthy canine patients. Blood cultures were obtained from 13 healthy dogs with chronic periodontal disease that necessitated the extraction of one tooth or multiple teeth. Patients included did not receive any antibiotic therapy for a minimum of 2 weeks prior to their scheduled procedure and did not receive antibiotic therapy intra- or post-operatively. Blood collection occurred at specific time increments to determine the presence of bacteremia and if clearance of the bacteremia occurred post-procedure. The study found transient bacteremia developed at different time increments throughout the dental procedure. At the time of the final sample collection, no bacterial growth was evident in any of the blood cultures. Results of the blood cultures indicated that only four of 13 dogs had evidence of bacterial growth at any one of the time increments; however, by the final collection, there was no bacterial growth suggesting the transient bacteremia had cleared without the use of systemic antimicrobial therapy. The study findings indicate that systemic antibiotic usage is not warranted for severe periodontal disease where an episode of transient bacteremia is produced from SRP and dental extractions in an otherwise healthy patient.

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Section: Introductionmentioning

confidence: 99%

The Presence of Bacteremia in 13 Dogs Undergoing Oral Surgery Without the Use of Antibiotic Therapy

Blazevich,

Miles

2023

J Vet Dent

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“…A balance of benefits and harms must be considered in determining the usefulness of any medical treatment. There have been four reports 18–21 on the harms of dental treatment during cancer therapy, particularly regarding the treatment of periodontal disease (i.e., tooth brushing, calculus scaling, and periodontal surgery) or tooth extraction (Table 5). According to a study by Weikel et al 18 on periodontal therapy comparing fever and bacteremia in cancer patients with and without invasive periodontal therapy in the presence of myelosuppression, no significant difference was observed between the two groups.…”

Section: Harm Caused By Dental Treatment In Cancer Carementioning

confidence: 99%

“…However, approximately half of the patients in both groups had less than 500 μL neutrophils and received prophylactic antimicrobial therapy. In addition, Usmani et al 19 reported that cancer patients treated with subgingival calculus scaling (all with more than 1000 μL neutrophils and no prophylactic antimicrobial therapy) had bacteremia immediately after the procedure; however, the presence of bacteria was temporary with no life‐threatening systemic infection. On the other hand, a study by Raut et al 20 compared patients who had tooth extraction before hematological cancer treatment with those who did not and found that the incidence of complications from tooth extraction was high (13%).…”

Section: Harm Caused By Dental Treatment In Cancer Carementioning

confidence: 99%

Management of odontogenic foci of infection (dental caries, periodontal disease and odontogenic infections) in the oral functional management of patients receiving cancer treatments: Guidelines based on a systematic review

Kurita,

Umeda,

Ueno

et al. 2023

Oral Science International

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In cancer treatment, perioperative oral functional management is used as a part of supportive care. Its main objectives are as follows: (1) preventing and reducing adverse events, (2) maintaining or improving nutritional status, (3) improving cancer treatment outcomes, (4) maintaining or improving quality of life, (5) providing high quality medical care through comprehensive oral care, (6) controlling odontogenic foci of infection, and (7) maintaining or improving oral function. A literature search was conducted using the electronic databases of Medical Journal and PubMed. Electronic database searches were performed using various combinations of the following key words: cancer, surgery, treatment, chemotherapy, radiotherapy and dental disease, oral care, oral management, dental intervention, oral health, dental care, and dental management. The selection of literature for inclusion in the review was restricted to dental management of patients receiving cancer treatment. In the course of the literature review, hand searches were also added as needed. The guideline was developed by summarizing the results of the review. Based on a review of the literature on the management of dental foci of infection in the oral functional management of patients undergoing cancer treatment, a guideline was developed by summarizing the results of the review. This report is a secondary publication of our previous review report “J. Stomatol. Soc. 70(4): 279–289. Dec 2021.”

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Biofilm formation to inhibition: Role of zinc oxide-based nanoparticles

Mahamuni‐Badiger

Patil

Badiger

et al. 2020

Materials Science and Engineering: C

167

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Transient bacteremia induced by dental cleaning is not associated with infection of central venous catheters in patients with cancer

Abstract: Bacteremia resulting from dental cleaning is transient and unlikely to cause CVC-related infection or BSI in patients with absolute neutrophil count greater than 1000 cells/µL.

Cited by 4 publications

References 39 publications

The Presence of Bacteremia in 13 Dogs Undergoing Oral Surgery Without the Use of Antibiotic Therapy

The Presence of Bacteremia in 13 Dogs Undergoing Oral Surgery Without the Use of Antibiotic Therapy

Management of odontogenic foci of infection (dental caries, periodontal disease and odontogenic infections) in the oral functional management of patients receiving cancer treatments: Guidelines based on a systematic review

Biofilm formation to inhibition: Role of zinc oxide-based nanoparticles

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