Cardiothoracic Department
People who are at increased risk of infections of the heart valves (a condition called infective endocarditis) may need to take an antibiotic before certain dental or other invasive medical procedures. Taking a pre-procedure antibiotic to prevent infection is called “antibiotic prophylaxis.”
- This patient is considered high risk of an adverse outcome from Infective Endocarditis.
- Maintenance of oral hygiene is vital.
- Antibiotic Prophylaxis to reduce the risk is recommended prior to major dental procedures in line with ESC and EACTS guidelines.
- The patient should discuss this decision with their dentist.
Although Infective Endocarditis is uncommon, it can happen if bacteria get into the bloodstream (for example, during a dental or surgical procedure) and travel to a heart valve.
Anyone who is at risk of developing Infective Endocarditis should follow a program of good oral hygiene and tooth care. This includes a professional cleaning every six months, twice-daily tooth brushing, and daily flossing. These measures can help to prevent plaque and bacteria from building up around the gums and teeth and reduce the risk.
Preventive antibiotics before certain procedures are recommended for people who are at highest risk of adverse outcome from infective endocarditis, including those with the following conditions:
- A prosthetic heart valve or past valve repair with prosthetic (manufactured) materials.
- A prior history of infective endocarditis
- Certain types of congenital heart disease
- Cardiac transplantation with presence of heart valve abnormalities
Further Information
Scottish Dental guidelines (Aug 2018) suggested that patients in high-risk groups undergoing invasive dental procedures should have their care discussed with their cardiologist and, where the cardiologist recommends it, a shared decision-making discussion should be had between the patient and dentist on the pros and cons.
Please visit www.sdcep.org.uk or please scan the QR code.
ESC Guidelines for the management of endocarditis (2023) developed by ESC and endorsed by EACTS and EANM. Recommended in patients at high risk of infective endocarditis undergoing at-risk dental procedures and recommended prophylactic antibiotics regime.
Please visit www.academic.oup.com or please scan the QR code.
Contact us
If you require further information, please contact our specialist nurse direct line:
Telephone: 01642 282507, Monday to Friday, 8am until 6pm
Email: [email protected]
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