Bacterial Endocarditis and Prophylaxis in Dentistry
exp date isn't null, but text field is
Antibiotic prophylaxis is an established requirement in the management of patients with cardiac related diseases at risk of bacterial endocarditis in the course of dental manipulation.
Predisposing risk factors include previous history of bacterial endocarditis, history of heart valve disease and a history of heart valve replacement.
Cause
- Streptococcus sanguis
- Streptococcus mitis
- Streptococcus mutans
- Streptococcus salivarius
- Other oral bacterial flora
TreatmentTreatment Objectives
To prevent seeding of oral bacteria during the transient bacteraemic phase during dental manipulation into intra-cardiac defects and valvular lesions
Pharmacological treatment 1st Line Treatment
Evidence Rating: [B]
- Amoxicillin (Amoxycillin), oral,
Adults
2 g stat. (2 hours before procedure)
Children
50 mg/kg stat. (2 hours before procedure)
Or
- Clindamycin, oral,
Adults
600 mg stat. (1 hour before procedure)
Children
20 mg/kg stat. (1 hour before procedure)
Referral Criteria
Refer to a cardiologist if cardiac status cannot be ascertained or history is not clear.