Abstract
Four local prophylactic methods were studied in the prevention of postextraction bacteremia: 1) mouth rinsing with 1 % iodine solution, postoperative bacteremia frequency 55 %, 2) operative field isolation with cotton rolls and saliva ejector, bacteremia frequency 34 %, 3) operative field isolation and disinfection with 10 % iodine solution, bacteremia frequency 32 %, 4) operative field isolation and disinfection with 0.5 % chlorhexidine solution, bacteremia frequency 13 %. The operative field isolation together with local disinfection with chlorhexidine was recommended for routine practice. However, when dealing with known or suspected risk group patients, a combined systemic and local prophylactic method was strongly recommended, as this was found in a previous investigation to be the most effective method for reducing the frequency of bacteremia.
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