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Sponsored by: |
National Institute of Dental and Craniofacial Research (NIDCR) |
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Information provided by: | National Institute of Dental and Craniofacial Research (NIDCR) |
ClinicalTrials.gov Identifier: | NCT00454285 |
The major purposes of this prospective, randomized, clinical study are to:
Condition | Intervention | Phase |
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Bacteremia |
Drug: Effect of Amoxicillin on bacteremia following a single-tooth extraction |
Phase II |
Study Type: | Interventional |
Study Design: | Prevention, Randomized, Double-Blind, Active Control, Parallel Assignment, Efficacy Study |
Official Title: | Bacteremia From Dental Extractions vs. Oral Hygiene |
Enrollment: | 290 |
Study Start Date: | January 2003 |
Study Completion Date: | June 2006 |
Primary Completion Date: | November 2005 (Final data collection date for primary outcome measure) |
The use of antibiotic prophylaxis to prevent distant site infections (DSI) from oral pathogens remains a controversial issue in clinical practice. Little is known about the incidence, nature, and duration (IND) of bacteremia resulting from dental extractions or tooth brushing, either in the presence or absence of prophylactic antibiotic coverage. The purpose of this prospective, randomized, clinical study of 300 subjects is to characterize the bacteremia resulting from a highly invasive (single extraction) dental office procedure and a minimally invasive and naturally occurring source of bacteremia (i.e., tooth brushing). Subjects will be randomized into three equal groups: extraction with amoxicillin, extraction with placebo, and oral hygiene. The major goals are to: 1) improve our understanding of the IND of bacteremias from 10 specific oral pathogens (S.
mitis, S. sanguis, S. oralis, S. intermedius, S. mutans, S. salivarius, F. nucleatum, A. Actinomycetemcomitans, E. corrodens and P. gingivalis) that have been reported to cause DSI; 2) measure the effect of the American Heart Association's guidelines for amoxicillin prophylaxis on the IND of bacteremia resulting from a single dental extraction. Blood for aerobic and anaerobic cultures will be drawn at six time points before, during, and following these oral procedures. We will employ a highly sensitive broth-based culturing system (i.e., BACTEC) and improve the specificity of the BACTEC results with the use of PCR sequence analysis. Detailed clinical information on the extent of disease in and around the involved teeth will determine the significance of local disease factors on the IND of the bacteremia from oral pathogens. Data from this study should have implications regarding future guidelines and standards of care concerning antibiotic prophylaxis for individuals currently felt to be at risk for DSI.
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | Yes |
Inclusion criteria:
Exclusion criteria:
.Subjects with active viral infectious disease (e.g., hepatitis).
United States, North Carolina | |
Carolinas Medical Center Dental Clinic | |
Charlotte, North Carolina, United States, 28203 |
Principal Investigator: | Peter B. Lockhart,, DDS | Carolinas Medical Center |
Responsible Party: | Carolinas Medical Center ( Peter B. Lockhart, Principal Investigator ) |
Study ID Numbers: | 13559, 1 R01 DE13559-01A2 |
Study First Received: | March 29, 2007 |
Last Updated: | April 29, 2008 |
ClinicalTrials.gov Identifier: | NCT00454285 History of Changes |
Health Authority: | United States: Federal Government |
bacteremia,cultures, infective endocarditis, prophylaxis |
Bacterial Infections Systemic Inflammatory Response Syndrome Bacterial Endocarditis Anti-Infective Agents Amoxicillin Endocarditis, Infective Bacteremia |
Endocarditis Inflammation Anti-Bacterial Agents Sepsis Endocarditis, Bacterial Infective Endocarditis |
Systemic Inflammatory Response Syndrome Bacterial Infections Anti-Infective Agents Anti-Bacterial Agents Amoxicillin Sepsis |
Pathologic Processes Therapeutic Uses Bacteremia Infection Pharmacologic Actions Inflammation |