Antibiotic prophylaxis guidelines for infective endocarditis
نویسنده
چکیده
Since infective endocarditis (IE) is a life-threatening infection, dentists should be aware of antibiotic prophylaxis guidelines. The American Heart Association (AHA) 4 and the British Society for Antimicrobial Chemotherapy (BSAC) 2 have currently updated their recommendations. In general, both guidelines reflect the need to avoid the overuse of antibiotics, which may lead to the development of bacterial resistance. Providers must choose the most recent guidelines from recognized authorities. Regardless of the guideline employed, it is instrumental that the most recent version is followed 3. The most important aspect for the prevention of IE is to classify both the patient and the procedure at risk (i.e., bleeding risk, bacteremia risk and subject risk) 3. Practioners tend to employ antibiotics prophylaxis according to the guidelines in place at the time of their graduation from dental school 1 , therefore this approach may not be updated 3. The AHA recently concluded that only an extremely small number of cases of IE might be prevented by antibiotic prophylaxis for dental procedures. Therefore, dentists are more than invited to read the current recommendations 2,4 in order to make a decision of which updated guideline should be followed.
منابع مشابه
Prophylaxis for infective endocarditis. Who needs it? How effective is it?
OBJECTIVE To review guidelines for using antibiotic prophylaxis to prevent infective endocarditis, and to present recent changes and controversies regarding these guidelines. QUALITY OF EVIDENCE Data are from physiologic and in vitro studies, as well as studies of animal models, and from retrospective analyses of human endocarditis cases. Systematic reviews and guidelines are also examined. A...
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1. Watkin RW, Roberts GJ, Elliott TSJ. New guidance from NICE regarding antibiotic prophylaxis for infective endocarditis – response by the BSAC Working Party. J Antimicrob Chemother 2008; 62: 1477–8. 2. Gould FK, Elliott TSJ, Foweraker J et al. Guidelines for the prevention of endocarditis: report of the Working Party of the British Society for Antimicrobial Chemotherapy. J Antimicrob Chemothe...
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