Ab Prophylaxis

Question 1

What guidelines are used re ab prescribing in those risk IE?

Answer 1

SDCEP

Question 2

What is infective endocarditis?

Answer 2

Infection of heart valves or endocardium - pt w/ predisposing cardiac conditions at higher risk

Question 3

What commonly causes IE?

Answer 3

Bacterial infection - oral streptococci

Question 4

What/ who recommends ab prophylaxis?

Answer 4

NICE guidelines

Ab prophylaxis for IE is not routinely recommended

Question 5

What pt are at increased risk of IE?

Answer 5

Acquired valvular disease
Previous IE
Congenital heart disease
Valve replacement

Question 6

What is SDCEP advice to manage these pt in practice?

Answer 6

Pt should be informed of risk IE: what is it, why they are at risk, symptoms IE
Inform pt ab not routinely offered: explain risk vs benefit
If pt request ab - seek cardiology input

Question 7

How tx emergency pt at increased risk of IE?

Answer 7

Ideally new pt should be assessed when reigster
Investigate all dental infection promptly
If unsure - gain cardiologist input
If unable gain cadiologist input - would want to make shared decision, pt needs to be fully informed

Question 8

What are two types of tx when considering risk IE?

Answer 8

Non-invasive and invasive tx

Question 9

What is non-invasive tx?

Answer 9

BPE screen
Supragingival scale and restorations
Provision LA

Question 10

What is invasive tx?

Answer 10

Periodontal assessment
Subgingival scale/ restorations
Matrix bands/ rubber dam clamps
XLA
Surgical procedures

Question 11

If ab where to be prescribed what regimen?

Answer 11

Prescribe prior appt - then pt takes 60 min before tx

Amoxicillin 3g sachet OR clindamycin 600mg capsules

Question 12

What consider when ab prescribing?

Answer 12

If pt had ab last 6 weeks - want to prescribe from diff class