2026-04-14T05:35:58Zhttps://recercat.cat/oai/request

oai:recercat.cat:2445/1790562025-11-20T14:11:25Zcom_2072_1057col_2072_478917col_2072_478927col_2072_478929

00925njm 22002777a 4500 dc Roca Millan, Elisabet author Estrugo Devesa, Albert author Merlos, Alexandra author Jané Salas, Enric author Vinuesa Aumedes, Teresa author López López, José, 1958- author 2021-07-14T08:51:44Z 2021-07-14T08:51:44Z 2021-06-10 2021-07-14T08:51:44Z Systemic antibiotics are routinely prescribed in implant procedures, but the lack of consensus causes large differences between clinicians regarding antibiotic prophylaxis regimens. The objectives of this systematic review are to assess the need to prescribe antibiotics to prevent early implant failure and find the most appropriate antibiotic prophylaxis regimen. The electronic search was conducted in PubMed/MEDLINE, Scielo and Cochrane Central Trials Database for randomized clinical trials of at least 3 months of follow-up. Eleven studies were included in the qualitative analysis. Antibiotics were found to statistically significantly reduce early implant failures (RR = 0.30, 95% CI: 0.19-0.47, p < 0.00001; heterogeneity I2 = 0%, p = 0.54). No differences were seen between preoperative or both pre- and postoperative antibiotic regimens (RR = 0.57, 95% CI: 0.21-1.55, p = 0.27; heterogeneity I2 = 0%, p = 0.37). A single preoperative antibiotic prophylaxis dose was found to be enough to significantly reduce early implant failures compared to no antibiotic (RR = 0.34, 95% CI: 0.21-0.53, p < 0.00001; heterogeneity I2 = 0%, p = 0.61). In conclusion, in healthy patients a single antibiotic prophylaxis dose is indicated to prevent early implant failure. Antibiòtics Metaanàlisi Ressenyes sistemàtiques (Investigació mèdica) Antibiotics Meta-analysis Systematic reviews (Medical research) Systemic antibiotic prophylaxis to reduce early implant failure: a systematic review and meta-analysis