Last Updated on Sep 13, 2016

Prevention

People with heart valve abnormalities, artificial valves, or congenital heart defects are recommended to take antibiotics before certain surgical, dental, and medical procedures so as to prevent infective endocarditis.

The efficacy of this preventive approach has not been studied on a large scale. Proof for a potential lack of effect doesn’t exist either. Hence prophylaxis continues to be recommended owing to the fatality of the disease.

The following is the list of procedures that mandate prophylactic antibiotics:

Surgical Procedures

  • Heart valve replacement
  • Open-heart surgery
  • Removal of tonsils or adenoids
  • Lung surgery
  • Surgery on the intestines or bile ducts
  • Prostate surgery

Dental Procedures

  • Tooth extraction
  • Periodontal procedures such as gum surgery, scaling, root planing, and probing
  • Placement of dental implants
  • Replacement of a tooth that was knocked out
  • Root canal surgery beyond the end of the root
  • Placement of orthodontic bands beneath the gums
  • Injection of an anesthetic into a ligament
  • Cleanings if bleeding is expected to result

Medical Procedures

  • Use of catheters or intravenous lines to provide fluids, nutrition, or drugs
  • Bronchoscopy
  • Cystoscopy
  • Dilation of the esophagus
  • Dilation of the urethra
  • Endoscopic retrograde cholangio-pancreatography (endoscopy, with injection of a dye that can be seen on x-rays, to remove gallstones in the bile duct)
  • Sclerotherapy for varicose veins in the esophagus

References:

  1. Cecil Medicine, 23rd Ed.
  2. The Merck Manual, 18th Ed.

Comments

navyalikitha Thursday, June 28, 2012

MAY I KNOW THE RECENT ADVANCES IN THERAPY OF ENDOCARDITIS EXACTLY?? I MEAN ANY NEW DRUGS RECENTLY INVENTED etc...

Jams34 Saturday, February 11, 2012

WHAT ARE Z PROBLEMS IF U SENT US UR WEB SITE...SINCE WE WANT SOME IDEAS IN RELATION 2 HEALTH ...,I AM St. of health ...from Ethiopia...

aravind007 Saturday, February 19, 2011

why the rate of development of the disease can happen either quickly or slowly depending on the type of germ that causes it and the medical history of the patient?

Most Popular on Medindia