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Results in Patients with Healed Rheumatic and Bacterial Endocarditis

HAROLD L. HIRSH, M.D.; JEAN J. VIVINO, M.D.; ARTHUR MERRIL, D.D.S.; HARRY F. DOWLING, M.D.

Arch Intern Med. 1948;81(6):868-878.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The frequency of bacteremia following the extraction of teeth and its importance in the development of bacterial endocarditis have been established both experimentally¹ and clinically.² Since endocarditis is such a serious disease, the introduction of the sulfonamide compounds and antibiotics has been inevitably followed by studies to determine their value in the prevention and eradication of this bacteremia. Although the results obtained by sulfonamide prophylaxis were encouraging, nevertheless cases of bacterial endocarditis were observed after premedication with the sulfonamide drugs. Because penicillin is superior to sulfonamide compounds in the treatment of endocarditis, it seemed advisable to us to employ this antibiotic in an attempt to prevent the bacteremia which follows dental extraction.

PLAN OF STUDY

Patients who were to have teeth extracted were placed in two groups, one to receive penicillin before operation and the other to serve as a control. In nearly every instance, the patient had . . . [Full Text PDF of this Article]

Author Affiliations
WASHINGTON, D. C.

From the Georgetown and George Washington University Medical Divisions, Gallinger Municipal Hospital, and the Departments of Medicine, Georgetown University School of Medicine and George Washington University School of Medicine.

Footnotes
Drs. Georgine Rotman-Kavka, Jay A. Robinson, William W. Zeller and Schneider Spiegel cooperated in the completion of these studies, and Miss Joan Rowe rendered technical assistance.

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