Antibiotic use after thr

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I had both hips replaced in 2016. Dr told me to use antibiotics before dental work. I had 3 moles removed by dermatologist and now I is infected. So dr started me on antibiotics. My question is when do you use antibiotics before dental and when else.

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5 Replies

  • Posted

    Advice varies from country to country, patient to patient and Dr to Dr. Theory is that dental work can cause a transient bacteria in the bloodstream for everyone. Usually the immune system deals with this PDQ. People with heart valve disease do not and it was extrapolated to be a concern for those with joint replacements as well. In the U.K. Antibiotics for dental work are no longer advised. 

    I would think that your wound infection is surface rather than very deep and so as long as the infection is treated successfully all will be OK, prophylactic antibiotics are not usually prescribed for such " relatively non invasive " treatments

  • Posted

    Wow, they didn't tell me to take antibiotics for anything else other than dental.  But I think it's just a happenstance with you that it became infected after the proceedure.  Don't think it's anything to worry about.  Were the moles on your face or ??  Something about the inside of your mouth that the infection MAY travel.  It's vulnerable inside your mouth for the rest of your body, the way I understand it, but someone else may be able to shed some more light on this subject.

    • Posted

      Your mouth has a great many species of bacteria in it, bleeding occurs during dental treatment. Bacteria could go into blood stream, see reply to gluten free above
  • Posted

    I had the antibiotics after the dental appointment - on account of the infection the dentist thinks I already had when the hip replacement was done! But his view was that routine treatment with antibiotics for most surgical patients did more harm than good, because it simply allows your body to build immunity to the antibiotics for when you need them! And that includes his advice to himself - and he has a replacement valve in his heart which I count as a lot more serious than a poxy hip....

    Bacteria are in and around your body all your life. Almost all the time, your body deals with them without letting you know about it. 

    I'm certainly in agreement with the dentist. Year by year our routine use of antibiotics creates more resistant bacteria and bodies less capable of fighting disease in the way they were meant to. I think they are to be avoided unless really needed, and not used as a preventative without very good reason. 

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