Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
3140338 | The Journal of the American Dental Association | 2008 | 21 Pages |
Abstract
The major changes in the updated recommendations include the following. (1) The committee concluded that only an extremely small number of cases of IE might be prevented by antibiotic prophylaxis for dental procedures even if such prophylactic therapy were 100 percent effective. (2) IE prophylaxis for dental procedures should be recommended only for patients with underlying cardiac conditions associated with the highest risk of adverse outcome from IE. (3) For patients with these underlying cardiac conditions, prophylaxis is recommended for all dental procedures that involve manipulation of gingival tissue or the periapical region of teeth or perforation of the oral mucosa. (4) Prophylaxis is not recommended based solely on an increased lifetime risk of acquisition of IE. (5) Administration of antibiotics solely to prevent endocarditis is not recommended for patients who undergo a genitourinary or gastrointestinal tract procedure. These changes are intended to define more clearly when IE prophylaxis is or is not recommended and to provide more uniform and consistent global recommendations.
Keywords
Antibiotic prophylaxisAmerican Dental AssociationAmerican Heart AssociationNonbacterial thrombotic endocarditisprosthetic valve endocarditisinfective endocarditisEndocarditisAHA Scientific Statementsrheumatic heart diseasecardiovascular diseaseCongenital heart diseaseGastrointestinalLevel of evidenceGenitourinarycolony-forming unitADA:Mitral valve prolapsePreventionAmerican College of Cardiology
Related Topics
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Medicine and Dentistry
Dentistry, Oral Surgery and Medicine
Authors
Walter MD, Kathryn A. PhD, FAHA, Michael MD, FAHA, Peter B. DDS, Larry M. MD, Matthew MD, Ann MD, FAHA, Christopher H. MD, MHS, Masato MD, FAHA, Robert S. MD, Jane W. MD, MPH, FAHA, Brian L. MD, Lloyd Y. MD, Michael MD, Robert O. MD, FAHA, Thomas DDS,