The American Heart Association has issued new Guidelines (Circulation. 2007;116:1736-1754) on when and where to use antibiotics to prevent endocarditis (Item 106-10). The Guidelines recommend that patients receive endocarditis prophylaxis for dental procedures only if they have one of the following conditions: (1) prosthetic heart valve; (2) previous history of infective endocarditis; (3) congenital heart disease (CHD); (4) unrepaired CHD, including shunts and conduits; (5) completely repaired CHD during first six months after procedure; and (6) completely repaired CHD with residual defects at site or adjacent to site. In addition, antibiotic prophylaxis solely to prevent infectious endocarditis is not recommended for GI or genitourinary procedures.
—Laura Hanjoglu-Goerke, MSN, ANP (111-20)