Pediatric Patients May Also Need Antibiotic Therapy for Certain Conditions

Pediatric Patients May Also Need Antibiotic Therapy for Certain Conditions

Aug 01, 2020

With the increasing prevalence of antibiotic-resistant bacteria being recognized by the American Academy of pediatric dentistry, they have issued specific guidelines for the proper and judicious use of antibiotic therapy for the treatment of oral conditions in pediatrics.

The initial recommendations on the use of antibiotics were developed and adopted in 2001 but were later revised in 2009 to include the terms dental trauma, oral wound management, oral contraception, and others. The AAPD used research papers from the last ten years on pediatrics for children between the ages of 10 years to 18 years. The research papers provided sufficient evidence, but wherever the data was insufficient expert opinion was sought, and recommendations taken on consensus opinion.

What Did the AAPD Recommend on the Research They Conduct?

The AAPD recommended that conservative use of antibiotics indicates it can minimize the risks of developing resistance to the current antibiotic regimens. Therefore the AAPD decided that practitioners of pediatric dentistry in Taylor and West Bloomfield, MI, must adhere to certain principles when prescribing antibiotics in pediatric dentistry.

Factors related to the risks of the patient, and the type of wound or injuries had to be evaluated by the pediatric dentist to determine the likelihood of infections before they decided the need for antibiotics was essential. The AAPD also discovered that topical antibiotic agents could treat facial lacerations.

How Are Pediatric Dentists Evaluating the Need for Antibiotic Therapy?

Pediatric dentists are required to classify wounds as clean, potentially contaminated, or contaminated. Antibiotics cover Intraoral lacerations contaminated by extrinsic bacteria, open fractures, and joint injury with an increased risk of infection if they are considered as beneficial during the healing process.

Pediatric dentists need to begin treatment early with antibiotics as its administration is critical for supplementing the resistance of the host in the killing of bacteria. The effectiveness of the medicines must be monitored for a minimal duration of five days after the patient has improved.

As more children are presently resistant to drugs, the pediatrician should consider altering or discontinuing antibiotics after determining the effectiveness or cure before completing the entire course of the therapy.

When Are Pediatric Dentists Recommending Antibiotics?

When children present acute symptoms of pulpitis, which can allow bacteria to access the pulpal tissue after developing dental caries because of defective restorations, antibiotics are recommended by pediatric dentists to treat the condition if the infection cannot be controlled within the pulpal tissue. In such cases, children usually do not display any signs of systemic diseases or facial swelling.

In cases where the child is presenting facial swelling, he or she must receive prompt attention where surgical intervention may be essential to perform a tooth extraction in Taylor and West Bloomfield. The pediatric dentist should, however, consider the age of the patient, the medical status, and the ability to receive adequate anesthesia, either local or general, must be evaluated before administering the treatment.

Gingivitis induced by dental plaque usually does not require antibiotic therapy. Suppose the patient is displaying aggressive periodontal disease when the pediatric dentist decides whether the child can control the growth of periodontal pathogens or not before offering pediatric periodontal disease treatment with antibiotics. The systemic use of antibiotics is recommended as adjunctive treatment to mechanical debridement in patients with advanced periodontal disease. In severe cases, tooth extraction in Taylor and West Bloomfield becomes essential to isolate the culture and susceptibility of the testing because it helps guide the selection of the drug.

Antibiotic therapy is used to treat several viral infections unless strong indications exist to indicate a secondary bacterial infection. Antibiotics are also used to treat many diseases of the salivary gland that respond favorably to antibiotic therapy. Bacteria acquired through community transmission or from a hospital can both be treated with antibiotics. Bacteria obtained from a hospital require intravenous antibiotics, while oral antibiotics are appropriate for community transmission of bacteria.

Pediatric dentists, after graduating from dental school, are required to continue educating themselves about the evolving nature of medications as well as microorganisms. If the pharmaceutical industry is attempting to stay abreast of evolving bacteria, the organisms are similarly making efforts to develop new pathogens for counteracting the antibiotics. Pediatric dentists are adopting safe practices when recommending medicines to pediatric patients only when they are deemed essential for the patient to bring about a quick recovery from the infection he or she may have developed.

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