Bacterial endocarditis
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Prevention
According to clinical practice guidelines from the American Heart Association, the following patients are "Highest Risk of Adverse Outcome From Endocarditis for Which Prophylaxis With Dental Procedures Is Reasonable" if they are undergoing "dental procedures that involve manipulation of gingival tissue or the periapical region of teeth or perforation of the oral mucosa":[1]
- "Prosthetic cardiac valve or prosthetic material used for cardiac valve repair"
- "Previous IE [infective endocarditis]"
- "Congenital heart disease (CHD)*"
- "Unrepaired cyanotic CHD, including palliative shunts and conduits"
- "Completely repaired congenital heart defect with prosthetic material or device, whether placed by surgery or by catheter intervention, during the first 6 months after the procedure"
- "Repaired CHD with residual defects at the site or adjacent to the site of a prosthetic patch or prosthetic device (which inhibit endothelialization)"
- Cardiac transplantation recipients who develop cardiac valvulopathy
References
- ↑ Wilson W, Taubert KA, Gewitz M, et al (2007). "Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group". Circulation 116 (15): 1736–54. DOI:10.1161/CIRCULATIONAHA.106.183095. PMID 17446442. Research Blogging.