[Are new recommendations on the prevention of XXXX applicable in our environment?].

@entity1 @entity7261 @entity281 @entity299 @entity582 @entity293 @entity884
INTRODUCTION: Over half a century ago the process of prevention of @entity884 in @entity1 with predisposed @entity299 was started. The application of prevention has been based on the fact that @entity884 is preceded by @entity582 , which can be caused by some invasive diagnostic and therapeutic procedures, and whose development can be prevented by applying antibiotics before an intervention. According to the latest guidelines of the European Society of Cardiology published this year, prevention is recommended only in high risk @entity1 with previous @entity884 , prosthetic valves, cyanotic @entity299 without surgical repair or with residual defects, palliative shunts or conduits, @entity299 with complete repair with prosthetic material up to six months after the procedure (surgery or percutaneous intervention), and when the residual defect persists at the site of implantation of a prosthetic material. In addition, antibiotic prophylaxis is limited to dental procedures with the manipulation of gingival or periapical region of the teeth or perforation of the oral mucosa. OBJECTIVE: The aim of this testing was to confirm whether these novelties in recommendations were applicable in our environment. METHODS: Fifty-seven @entity1 (44 @entity1 and 13 @entity1 ) with @entity884 were included in the testing. @entity884 was diagnosed in 68% of @entity1 based on two major criteria and in 32% based on one major and three minor criteria. RESULTS: In 54.4% of @entity1 the entry site of @entity281 could be determined. Twenty-one percent of @entity1 developed @entity281 after a dental intervention, 17.5% of @entity1 the @entity281 occurred after a skin/soft tissue lesion, whereas @entity293 preceded @entity884 in 14% of @entity1 and bowel @entity7261 was a possible cause in of 1.75% of @entity1 . In all cases with @entity884 preceded by the dental intervention, antibiotic prophylaxis was not applied due to absent data of @entity299 or negligence. CONCLUSION: In our country a high incidence of @entity884 following dental procedures has been observed. One of possible reasons is poor oral hygiene. Its improvement and a regular dental control, as well as the individual risk assessment of intervention and conditions under which the intervention is performed could determine risk reduction for the development of @entity884 .
