Open AccessAre new recommendations on the prevention of infective endocarditis applicable in our environment?
Author(s) -
Branislava Ivanović,
Snežana Matić,
Milorad Pavlović,
Marijana Tadić,
Dragan Simić
Publication year - 2010
Publication title -
srpski arhiv za celokupno lekarstvo
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.135
H-Index - 17
eISSN - 2406-0895
pISSN - 0370-8179
DOI - 10.2298/sarh1012714i
Subject(s) - medicine , infective endocarditis , endocarditis , perforation , surgery , antibiotic prophylaxis , intervention (counseling) , antibiotics , intensive care medicine , materials science , punching , psychiatry , microbiology and biotechnology , metallurgy , biology
Over half a century ago the process of prevention of infective endocarditis in patients with predisposed cardiac diseases was started. The application of prevention has been based on the fact that infective endocarditis is preceded by bacteraemia, which can be caused by some invasive diagnostic and therapeutic procedures, and whose development can be prevented by applying antibiotics before an intervention. According to the latest guidelines of the European Society of Cardiology published this year, prevention is recommended only in high risk patients with previous infective endocarditis, prosthetic valves, cyanotic congenital heart diseases without surgical repair or with residual defects, palliative shunts or conduits, congenital heart diseases with complete repair with prosthetic material up to six months after the procedure (surgery or percutaneous intervention), and when the residual defect persists at the site of implantation of a prosthetic material. In addition, antibiotic prophylaxis is limited to dental procedures with the manipulation of gingival or periapical region of the teeth or perforation of the oral mucosa.