Bacterial Endocarditis Prophylaxis

2007 AHA guidelines

Who:

• Prosthetic heart valves, including bioprosthetic and homograft valves.
• A prior history of IE.
• Congenital heart disease unless repaired successfully without residual defects and without prosthetic material.
• Cardiac valvulopathy in a transplanted heart.

When:

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

Procedures of the respiratory tract that involve incision or biopsy of the respiratory mucosa.

Procedures in patients with ongoing GI or GU tract infection.

Procedures on infected skin, skin structure, or musculoskeletal tissue.

Surgery to place prosthetic heart valves or prosthetic intravascular or intracardiac materials.

What:
Amoxicillin 2gm 30-60min before procedure. If allergic, given cephalexin or clinda or azithromycin.