New recommendations for the prevention of infective endocarditis

Current Opinion in Pediatrics
Robert Baltimore

Abstract

A revision of the American Heart Association guidelines for the prevention of infective endocarditis was recently published in their journal Circulation. Pediatric practitioners as well as other primary care specialists and dentists will need to advise patients as to whether they require antibiotic prophylaxis prior to invasive procedures. Some patients who formerly received prophylaxis for certain procedures may need an explanation when they are told that antibiotic prophylaxis is no longer recommended for them. New research casts doubt on whether dental, surgical and invasive diagnostic procedures really are the cause of infective endocarditis. Events of daily life are more likely to cause bacteremia than planned procedures. Neither constant nor intermittent antibiotic prophylaxis has been proven to prevent endocarditis. The authors of the revised American Heart Association guidelines made significant changes from past guidelines restricting prophylaxis to only those individuals with cardiac conditions that pose the highest risk for bad outcome should infective endocarditis occur and only for dental procedures causing the highest bacteremia rates.

References

Sep 1, 1977·Circulation·N H Silverman, C L Roge
Dec 1, 1972·Circulation·R Favaloro
Oct 1, 1984·Circulation·P J Cannon
Jun 1, 1965·Circulation·A E HUSSAR
Apr 21, 2006·The Journal of Antimicrobial Chemotherapy·F K GouldUNKNOWN Working Party of the British Society for Antimicrobial Chemotherapy
May 17, 2006·British Dental Journal·Michael Martin
May 18, 2006·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Xavier DuvalS Briançon
Aug 18, 2006·Heart·H Ashrafian, R G Bogle
Aug 29, 2006·British Dental Journal·D R RamsdaleB Fabri
Aug 29, 2006·British Dental Journal·J V Williams
Feb 28, 2007·Archives of Internal Medicine·Todd B Seto
Apr 3, 2007·Heart·Omar AsgharDavid Ramsdale

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Citations

May 22, 2016·The Journal of Contemporary Dental Practice·Esam HalboubNezar Noor Al-Hebshi

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