Antibiotic prophylaxis against infective endocarditis after normal delivery--is it necessary?

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Antibiotic prophylaxis against infective endocarditis after normal delivery--is it necessary?

During the years 1959 to 1978 inclusive 2165 women with rheumatic or congenital heart disease had vaginal deliveries at three large Dublin maternity hospitals. There were two (0.09%) cases of puerperal infective endocarditis, neither of which was unequivocally related to preceding childbirth during this period. Routine peripartum antibiotic prophylaxis was not given to either. A questionnaire o...

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Antibiotic prophylaxis against infective endocarditis in adult and child patients

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Antibiotic prophylaxis against infective endocarditis: time to rethink.

A decade of research has led to more precise guidelines for a complex health problem t has long been considered that all patients with heart conditions that predispose to infective endocarditis should receive antibiotic prophylaxis when undergoing procedures that can lead to bacteraemia with organisms known to cause endocarditis. However, the evidence for such action is surprisingly poor. 1 It ...

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Antibiotic prophylaxis, body piercing and infective endocarditis.

Infective endocarditis (IE) is associated with a high degree of morbidity and mortality and generally presents in patients with altered and abnormal heart architecture combined with exposure to bacteria through trauma and other potentially high-risk activities, including body piercing. Modern social behaviour has resulted in increased popularity of the practice of body piercing, particularly am...

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ژورنال

عنوان ژورنال: Heart

سال: 1980

ISSN: 1355-6037

DOI: 10.1136/hrt.44.5.499