BACTERIAL ENDOCARDITIS
Endocarditis Prophylaxis Recommended
Preventive antibiotics prior to a dental procedure are advised for patients with:
? Artificial heart valves
? Infective endocarditis history
? Certain specific, serious congenital (present from birth) heart conditions, including:
○ Unrepaired or incompletely repaired cyanotic congenital heart disease, as well as those with 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
○ Any repaired congenital heart defect with residual defect at the site or adjacent to the site of a prosthetic
patch or a prosthetic device
? Cardiac transplant that develops a problem in a heart valve
Endocarditis Prophylaxis Not Recommended
Patients who have taken prophylactic antibiotics routinely in the past but no longer need them include
people with:
? Mitral valve prolapse
? Rheumatic heart disease
? Bicuspid valve disease
? Calcified aortic stenosis
? Congenital heart conditions, such as ventricular septal defect, atrial septal defect and hypertrophic
cardiomyopathy