Page 33 - HPP ANTIMICROBIAL GUIDELINE 2018
P. 33

NON-SURGICAL

 Maintenance of optimal oral health and hygiene is essential to reduce the incidence of bacteraemia from daily activity. Infective
 endocarditis (IE) prophylaxis for dental procedures is indicated for the following cardiac conditions:

 •  Prosthetic heart valves, including bio prosthetic and homograft valves
 •  Prosthetic material used for cardiac valve repair
 •  A prior history of  IE
 •  Following congenital heart disease
 •  Unrepaired cyanotic congenital heart disease, including palliative shunts and conduits
 •  Completely  repaired  congenital  heart  defects  with  prosthetic  material  or  device,  whether  placed  by  surgery  or  by  catheter
 intervention, during the 6  months after the procedure
 •  Repaired congenital heart disease with residual defects at the site or adjacent to the site of the prosthetic device (which inhibit
 endothelisation)
 •  Cardiac "valvulopathy" in a transplanted heart. Valvulopathy is defined as documentation of substantial leaflet pathology and
 regurgitation

 Dental procedures for which prophylaxis is recommended

 All dental procedures involve manipulation of gingival tissue or the periapical region of teeth or perforation of gingival mucosa.

 Other procedures for which prophylaxis is recommended

 Antibiotic prophylaxis may be given to high risk patients who undergo invasive procedure:
 •  Procedures of respiratory tract that involve incision or biopsy of the respiratory mucosa
 •  GI or GU procedures in patients with ongoing GI or GU tract infection
 •  Procedures on infected skin, skin structure, or musculoskeletal tissue
 •  Surgery for prosthetic heart valves or prosthetic intravascular or intracardiac materials






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