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SRP and Pregnant Pt

What about the risk of infective endocarditis, etc…..Sometimes my DDS will have a pt take antibiotic premed before SRP due to the bacterial load in the mouth. Usually for those pts that are 10+ years without a cleaning. Heavy supra calculus. Aren’t pregnant women at greater risk of infection, isn’t that why they are supposed to get flu shots? I would be worried about stirring up that decade old bacteria and it getting into the blood stream and getting to the baby. Is it okay to give them antibiotic premed to pregnant women before SRP?



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Just because a patient hasn’t had a cleaning in 10+ years, doesn’t mean they need antibiotics, nor is being pregnant a prerequisite for antibiotic prophylaxis. Premedicating these patients goes against current protocols and over-prescribing antibiotics is why we are now seeing antibiotic resistance.
Here are some links for the recommendations:
https://www.uptodate.com/contents/antibiotics-before-procedures-beyond-the-basics
https://www.ada.org/en/member-center/oral-health-topics/antibiotic-prophylaxis
https://www.todaysrdh.com/cutting-premedication-confusion/

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