Bacteremias Following Dental Extraction. Demonstration of Source of Bacteria by Means of a Non-Pathogen (Serratia Marcesens)
Bacteremias Following Dental Extraction. Demonstration of Source of Bacteria by Means of a Non-Pathogen (Serratia Marcesens)
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拔牙后发生菌血症。
DOI：
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发表时间：
1937
期刊：
影响因子：
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通讯作者：
C. Burn
中科院分区：
文献类型：
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作者：
L. Burket;C. Burn
本研究旨在确定拔牙后细菌感染的频率，并证明从血流中回收的细菌的原始位置。其他目的是确定不同的麻醉方法以及用一半浓度的碘酊准备龈沟如何影响这些结果。在研究亚急性细菌性心内膜炎的病因时，Okell和Elliot（1）在全麻下拔牙前和拔牙后10分钟进行了血培养。他们在一氧化二氮下提取后获得了60%以上的阳性血培养。尽管短暂性菌血症的发生率很高，但没有记录到严重的全身表现。在几例严重的脓性疾病中，在提取前获得了阳性血培养。最近，Round、柯克帕特里克和Hails（2）对90例使用Novocaine浸润麻醉的病例进行了研究。设计了技术方法以防止针头或麻醉溶液可能受到污染，并注意准备注射部位，但未提及牙龈缝隙的类似准备。未说明术后血培养结果。这些研究人员对10名患有口腔脓毒症的人进行了血液培养，这些人刚刚咀嚼了硬糖。这两例脓性疾病表现为菌血症，金黄色葡萄球菌从一个和链球菌
This study was undertaken to determine the frequency of bacteremias following the extraction of teeth and to demonstrate the original location of the bacteria which were recovered from the blood stream. Other objectives were to determine how different anesthesias and how the preparation of the gingival crevice with one-half strength tincture of iodine effected these results. In studies dealing with the etiology of subacute bacterial endocarditis, Okell and Elliot (1) made blood cultures before and ten minutes after the removal of teeth under general anesthesia. They obtained over 60 per cent positive blood cultures after extraction under nitrous oxide. No serious systemic manifestations are recorded in spite of the high incidence of transient bacteremias. In several cases of severe pyorrheal disease, positive blood cultures were obtained prior to extraction. More recently, Round, Kirkpatrick and Hails (2) made studies on 90 cases in which novocaine infiltration anesthesia was used. The technical methods were devised to prevent possible contamination of the needle or the anesthetic solution and care was taken to prepare the site of injection although no mention was made of similar preparation of the gingival crevice. The results of post-operative blood cultures were not stated. These investigators took blood cultures on ten individuals with oral sepsis who had just masticated hard candy. The two cases of pyorrheal disease showed a bacteremia, Staphylococcus aureus being obtained from one and Streptococcus