Infective Endocarditis: Updated Guidelines

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 not...

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Main Author: U Allen
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Canadian Journal of Infectious Diseases and Medical Microbiology
Online Access:http://dx.doi.org/10.1155/2010/760276
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author U Allen
author_facet U Allen
author_sort U Allen
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description 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.
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spelling doaj-art-8f4cd40582cc49779bc5a825446fa6d52025-02-03T00:59:01ZengWileyCanadian Journal of Infectious Diseases and Medical Microbiology1712-95322010-01-01212747710.1155/2010/760276Infective Endocarditis: Updated GuidelinesU Allen0Canadian Paediatric Society, Infectious Diseases and Immunization Committee, CanadaThe 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.http://dx.doi.org/10.1155/2010/760276
spellingShingle U Allen
Infective Endocarditis: Updated Guidelines
Canadian Journal of Infectious Diseases and Medical Microbiology
title Infective Endocarditis: Updated Guidelines
title_full Infective Endocarditis: Updated Guidelines
title_fullStr Infective Endocarditis: Updated Guidelines
title_full_unstemmed Infective Endocarditis: Updated Guidelines
title_short Infective Endocarditis: Updated Guidelines
title_sort infective endocarditis updated guidelines
url http://dx.doi.org/10.1155/2010/760276
work_keys_str_mv AT uallen infectiveendocarditisupdatedguidelines