Download Indication for use of antibiotic (general guidelines)

Indication for use of antibiotics (general guidelines)
1. Cellulites
2. Compromised host defense
3. Periocoronitis
4. Osteomyelitis
5. Involvement of vital structures (space infection, airway obstructions)
6. Systemic manifestation (fever, malaise)
7. Oroantral communication
8. As prophylactic (SAB Endocarditis, V-P shunt)
Antibiotics not indicated in:
1. Well localized abscess
2. Dry socket
3. Mild periocoronitis
Indications for culture and sensitivity testing:
1. Nonresponsive infection in spite of appropriate treatment.
2. Compromised host defenses (immunocompromised, myelosupressed patients)
3. When atypical flora may be expected (the use of long term antibiotics, age
extremes <65 y or > 2y , patients with malignancy)
4. Osteomyelitis
5. Life threatening systemic infections.
6. Suspected actinomycosis
7. Pharyngeal infections
Patients at risk for bacterial endocarditis:
1. 1.Rheumatic valvular diseases
2. Mitral valve prolapse and mitral regurgitation
3. Acquired valvular diseases:
- Calcific aortic stenosis in elderly patients
- Aortic insufficiency secondry to trauma
- Aortic insufficiency in syphilis
4. Congenital heart diseases
Mitral valve prolapse with regurgitation
Ventricular septal defect
Idiopathic hypertrophic subaortic stenosis
Bicuspid aortic valve
Tetralogy of Fallot
5.
6.
7.
8.
9.
Intravascular prosthesis
Coarctation of the aorta
Previous bacterial endocarditis
Prosthetic heart valve
Systemic-pulmonary shunt or conduit