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Medical Forum / General / Dentistry / April 2007new ada guidelines for SBE
Wasn't sure if the dentists on this site were aware of these guidelines, just released last week: http://www.ada.org/prof/resources/topics/infective_endocarditis.asp Nope. None of us are memebers of the ADA and we rarely read anything except ridiculous usenet newsgroups. Did I mention that we are also old? ;-) Steve > Wasn't sure if the dentists on this site were aware of these guidelines, > just released last week: > > http://www.ada.org/prof/resources/topics/infective_endocarditis.asp I was so grateful to see this last week. I have felt for many years that the risk of anaphylactic shock was greater than the risk of SBE for mitral valve and similar conditions. This will reduce the cost of healthcare for this country a notch.  Signature/ Amatus / > Wasn't sure if the dentists on this site were aware of these guidelines, > just released last week: > > http://www.ada.org/prof/resources/topics/infective_endocarditis.asp > This will reduce the cost of healthcare for this country a notch. Certainly big drug companies weren't behind the decision. John It is not just the cost of the Rx. It is the cost of explaining to the patient why they need to take the drug, calling in the Rx, checking to see they had the script filled when confirming the appointment, making sure they took the Rx the day of the appointment, re-appointing if they forget to take the Rx, etc. Then there is the nightmare of a young child who has a mild murmur, is allergic to Penicillin and cannot swallow pills. You have to have a pharmacy formulate Clindamycin solution no sooner than the day before the appointment, as the solution is only stable for 48 hours. Life will be much simpler now. Signature/ Amatus / > >> This will reduce the cost of healthcare for this country a notch. > > Certainly big drug companies weren't behind the decision. > > John I agree with you entirely, but the drug lobby in Washington is mighty powerful. John > It is not just the cost of the Rx. It is the cost of explaining to the > patient why they need to take the drug, calling in the Rx, checking to see [quoted text clipped - 14 lines] >> >> John >I was so grateful to see this last week. I have felt for many years that >the risk of anaphylactic shock was greater than the risk of SBE for mitral >valve and similar conditions. This will reduce the cost of healthcare for >this country a notch. Disagree strongly. Still the cardiologist should have the final word. Tend to go with the AHA guidelines however. > Wasn't sure if the dentists on this site were aware of these guidelines, > just released last week: > > http://www.ada.org/prof/resources/topics/infective_endocarditis.asp Yes........I saw this on Dental town last week.......But it is difficult to change immediately....I still prescribe my patients who used to be premedicated. It will take me a few months to digest the new guide line Digest??? It is very clear what the new guidelines say. Do you need to review it? Did you actually read it? Signature/ Amatus / >> Wasn't sure if the dentists on this site were aware of these guidelines, >> just released last week: [quoted text clipped - 5 lines] > used to be premedicated. It will take me a few months to digest the > new guide line > Digest??? > [quoted text clipped - 24 lines] > > - Show quoted text - Now....Is this an response or a personal attack? I thought the guidelines are very clear. If someone else does not think so it can be discussed. Signature/ Amatus / >> Digest??? >> [quoted text clipped - 27 lines] > > Now....Is this an response or a personal attack? >I thought the guidelines are very clear. If someone else does not think so >it can be discussed. Am printing the *.pdf now, once read will discuss. |
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