The role of a dentist in the prevention of microbial endocarditis

Prema kliničkim istraživanjima incidencija mikrobnog ednokarditisa je sve veća. Dok je prije upotrebe antibiotika kao uzročnik prevalirao Streptococcus viridans, danas se kao uzročnici sve češće pojavljuju stafilokoki, gram negativne bakterije, gljivice i virusi. Kako je populacija sve starija, tako su i regresivno degenerativne promjene na pojedinim sistemima sve izraženije. Uz to se pojedini pacijenti s hereditarnim i stečenim bolestima srca sve bolje medicinski opskrbljeni, a životni vijek je produžen. Primjena medicinskih pomagala u dijagnostici i terapiji je sve veća. Svi ovi spomenuti momenti postaju danas značajan činilac u etiologiji i patogenezi mikrobnog endokarditisa.According to clinical studies performed, the incidence of microbial endocarditis is on an increase. Prior to the introduction of antibiotics, Streptococcus viridans was the prevailing cause of microbial endocarditis, whereas now staphylococci, gram-negative bacteria, fungi and viruses ever more frequently appear as causes of this derangement. With growing age of the population, the regressive-degenerative alterations in particular systems also become more marked. Besides this, some patients with hereditary and acquired heart diseases have better medical equipment and life expectancy has been prolonged. The use of medical facilities in both diagnostics and therapy is also on an increase. All these mentioned above have become important factors in the etiology and pathogenesis of microbial endocarditis