Controversies Surrounding Infective Endocarditis Prophylaxis Prior to Dental Procedures

2014 ◽  
Vol 1 (1) ◽  
pp. 16
Author(s):  
Kanika Sabhlok ◽  
Shalini Singh ◽  
Rohini Bonthala
2019 ◽  
Vol 12 (2) ◽  
pp. bcr-2018-227962 ◽  
Author(s):  
Eric Allan Meyerowitz ◽  
Sarah Prager ◽  
Karen Stout ◽  
Alison Roxby

The role of antibiotic prophylaxis for prevention of infective endocarditis is unknown. Endocarditis prophylaxis is recommended for certain high-risk individuals prior to dental procedures. To our knowledge, this is the first case reported in the literature of a patient with complex congenital heart disease developing endocarditis in the period immediately following otherwise uncomplicated intrauterine device insertion.


2014 ◽  
Vol 1 (1) ◽  
pp. 16
Author(s):  
Kanika Sabhlok ◽  
Shalini Singh ◽  
Rohini Bonthala

The guiding principles for the prevention of Infective Endocarditis (IE) following dental procedures have been a debatable topic for a long time now. Evidently this has led to numerous amounts of research and consequently dental practitioners from across the world follow different prophylactic treatment regimens. At present, there are a few regimens that various health authorities have endorsed in their respective countries. There is a lack of substantial data in order to determine which regimen is better over the other, and unfortunately, that places the practitioner in a difficult situation to decide the best for his patient.


Author(s):  
John W. Wilson ◽  
Lynn L. Estes

The guidelines for the prevention of infective endocarditis (IE) issued by the American Heart Association underwent a major revision in 2007. Key changes include the following: • Dental procedures have been found to be associated with a small number of cases of IE. Thus, even if prophylaxis was 100% effective, it would prevent only an extremely small number of cases....


2010 ◽  
Vol 21 (2) ◽  
pp. 74-77 ◽  
Author(s):  
U Allen

The most recent revision of the American Heart Association guidelines on infective endocarditis prophylaxis occurred in 2007. These revisions were based on the fact that current data have brought into question the benefit of previous recommendations for infective endocarditis prophylaxis. It was noted that the bacteremia that occurs following dental procedures represents only a fraction of the episodes of bacteremia that occur with activities of daily living (such as chewing, brushing teeth and other oral hygiene measures). The target groups and the procedures for which prophylaxis is reasonable have been significantly reduced in number. The focus is now on patients who are most likely to have adverse outcomes from infectious endocarditis. The present article is targeted at practicing Canadian physicians and provides the rationale for the current recommendations. In addition to a summary of the indications for prophylaxis, information is provided on the conditions for which prophylaxis is not recommended.


Author(s):  
Farhan Raza Khan ◽  
Humayun Kaleem Siddiqui ◽  
Muhammad Tariq Khan

Abstract Dental extraction of abscessed or infected teeth before cardiac operation is frequently advocated to lower the risk of infections especially infective endocarditis. The scientific evidence that supports dental procedures before cardio-valvular surgery is however limited. The aim of the present paper was to explore whether there are any protocols for patients needing dental treatment before cardiac operations. Moreover, we have discussed the real life challenges encountered in the management of such patients. Continuous....


Circulation ◽  
2018 ◽  
Vol 138 (4) ◽  
pp. 364-366
Author(s):  
Larry M. Baddour ◽  
Bernard D. Prendergast

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