Antimicrobianos e periodonto : manejo médico pelo dentista geral
Odontóloga, Universidad de Cartagena. Especialista en Docencia universitaria, Universidad Pontificia Javeriana-Bogotá. Especialista en Gerencia de Servicios Sociales, Fundación Universitaria Luis Amigó. Máster en Educación y Promoción para la Salud y Educación sanitaria, Universidad de San Jorge (España). Docente coordinadora de Proyección Social del programa de Odontología de la Corporación Universitaria Rafael Núñez.
email: lesalzar@gmail.com
Médico Especialista en Medicina Interna, Universidad de Cartagena. Médico Especialista en Medicina Crítica y Cuidados Intensivos, Universidad de Cartagena.
email: ljulionarvaez@gmail.com
Médico. Universidad del Sinú
email: medicina9617@gmail.com
As infecções odontogênicas (OI) estão relacionadas ao envolvimento da polpa dentária e à doença periodontal, são polimicrobianas, mas predominam os anaeróbios estritos. Além da drenagem ou do tratamento cirúrgico, são utilizados antimicrobianos que diminuem o tempo de resolução e favorecem os resultados predominantemente em termos de redução na profundidade da sondagem (DP) e ganho no nível de inserção. Os antimicrobianos mais comumente usados são beta-lactâmicos combinados com inibidor de betalactamase, nitroimidazol, metronidazol, azitromicina, entre macrolídeos, lincosaminas, principalmente clindamicina e quinolonas com maior sucesso moxifloxacino. Vários regimes desses antimicrobianos foram usados para determinar a não inferioridade na maioria, mas foram encontradas vantagens específicas com o uso de alguns como o menor tempo de terapia, a maior eficácia no caso do aparecimento de resistência bacteriana e efeitos mais baixos secundário.
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