Who needs endocarditis prophylaxis?

Academic Article


  • Antibiotic endocarditis prophylaxis is recommended for persons with predisposing cardiovascular disorders whenever they must undergo procedures or manipulations that have a high likelihood of producing transient bacteremia. High-risk procedures include dental extraction, other dental and intraoral manipulations, rigid instrument bronchoscopy, most urologic procedures, and surgery and instrumentation of the lower gastrointestinal tract. Cardiac conditions that most commonly predispose to endocarditis include rheumatic valvulitis, certain congenital defects, calcific aortic stenosis, mitral valve prolapse, and prosthetic heart valves. Prophylactic antibiotic regimens should be directed against the organisms most likely to cause bacteremia following a specific diagnostic or therapeutic maneuver.
  • Published In

    Author List

  • Dismukes WE
  • Start Page

  • 347
  • End Page

  • 357
  • Volume

  • 6
  • Issue

  • 4