Abstract
Objective: To identify and analyse the risk factors for infective endocarditis.
Design: Retrospective survey over a 12-year period.
Setting: Department of Paediatric Cardiology, Nancy, France.
Subjects: 43 children attending during 1970-1992 who were diagnosed with infective endocarditis in accordance with Von Reyn's classification.
Results: 45 episodes of infective endocarditis were recorded (2 children had 2 episodes). Congenital cardiac disease was the most frequent predisposing factor for infective endocarditis. The causes of bacteraemia found were frequently, but not exclusively, of dental origin (30.5%). Among the dental causes were: poor oral health, inappropriate treatments and lack of antibiotic prophylaxis.
Conclusions: Children diagnosed with a cardiac disorder should be examined by a dentist. Modern principles of antibiotic therapy and accepted dental procedures must be performed as soon as possible and parents informed of the current preventive recommendations
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Droz, D., Koch, L., Lenain, A. et al. Bacterial endocarditis: results of a survey in a children's hospital in France. Br Dent J 183, 101–105 (1997). https://doi.org/10.1038/sj.bdj.4809432
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DOI: https://doi.org/10.1038/sj.bdj.4809432
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