Antibiotics for Cardiac Conditions
Cardiac conditions associated with the highest risk of adverse outcome from endocarditis for which prophylaxis with oral surgery procedures is reasonable:
1) Prosthetic cardiac valve or prosthetic material used for cardiac valve repair
2) Previous infective endocarditis
3) Congenital heart disease (CHD)*
-Unrepaired cyanotic CHD, including palliative shunts and conduits
-Completely repaired congenital heart defect with prosthetic material or device, whether placed by surgery or by
catheter intervention, during the first six months after the procedure†
-Repaired CHD with residual defects at the site or adjacent to the site of a prosthetic patch or
prosthetic device (which inhibit endothelialization)
4) Cardiac transplantation recipients who develop cardiac valvulopathy
* Except for the conditions listed above, antibiotic prophylaxis is no longer recommended for any other form of CHD
† Prophylaxis is reasonable because endothelialization of prosthetic material occurs within six months after the procedure
Prevention of Infective Endocarditis: Guidelines from the American Heart Association JADA 2008;139(1):3S-24S.
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