Cardiology prophylaxis Flashcards
Q: What is the recommended antibacterial prophylaxis for cardiac pacemaker insertion?
A: Single dose of i/v cefuroxime alone or i/v flucloxacillin + i/v gentamicin. Additional doses may be given for prolonged procedures or if there is major blood loss.
Q: When should intravenous antibacterial prophylaxis be administered for cardiac pacemaker insertion?
A: Up to 30 minutes before the procedure.
Q: When is a single dose of i/v teicoplanin (or vancomycin) + i/v cefuroxime or i/v teicoplanin (or vancomycin) + i/v gentamicin recommended for cardiac pacemaker insertion?
A: If there’s a high risk of meticillin-resistant Staphylococcus aureus.
Q: What is the recommended antibacterial prophylaxis for cardiac pacemaker insertion?
A: Single dose of i/v cefuroxime alone or i/v flucloxacillin + i/v gentamicin. Additional doses may be given for prolonged procedures or if there is major blood loss.
Q: When should intravenous antibacterial prophylaxis be administered for cardiac pacemaker insertion?
A: Up to 30 minutes before the procedure.
Q: When is a single dose of i/v teicoplanin (or vancomycin) + i/v cefuroxime or i/v teicoplanin (or vancomycin) + i/v gentamicin recommended for cardiac pacemaker insertion?
A: If there’s a high risk of meticillin-resistant Staphylococcus aureus.
Vascular Surgery: Antibacterial Prophylaxis
Q: What is the recommended antibacterial prophylaxis for reconstructive arterial surgery of the abdomen, pelvis, or legs?
A: Single dose of i/v cefuroxime alone or i/v flucloxacillin + i/v gentamicin. Additional doses may be given for prolonged procedures or if there is major blood loss.
Q: When should intravenous antibacterial prophylaxis be administered for vascular surgery?
A: Up to 30 minutes before the procedure.
Q: What should be added to the prophylaxis for patients at risk from anaerobic infections in vascular surgery?
A: Add i/v metronidazole. Use a single dose of i/v teicoplanin (or vancomycin) + i/v gentamicin if there’s a history of allergy to penicillins or cephalosporins or if there’s a high risk of meticillin-resistant Staphylococcus aureus.
Vascular Surgery: Antibacterial Prophylaxis
Q: What is the recommended antibacterial prophylaxis for reconstructive arterial surgery of the abdomen, pelvis, or legs?
A: Single dose of i/v cefuroxime alone or i/v flucloxacillin + i/v gentamicin. Additional doses may be given for prolonged procedures or if there is major blood loss.
Q: When should intravenous antibacterial prophylaxis be administered for vascular surgery?
A: Up to 30 minutes before the procedure.
Q: What should be added to the prophylaxis for patients at risk from anaerobic infections in vascular surgery?
A: Add i/v metronidazole. Use a single dose of i/v teicoplanin (or vancomycin) + i/v gentamicin if there’s a history of allergy to penicillins or cephalosporins or if there’s a high risk of meticillin-resistant Staphylococcus aureus.
Infective Endocarditis: Antibacterial Prophylaxis
Q: Is chlorhexidine mouthwash recommended for the prevention of infective endocarditis in at-risk patients undergoing dental procedures?
A: No, it is not recommended.
Q: Is antibacterial prophylaxis routinely recommended for the prevention of infective endocarditis in patients undergoing dental, respiratory, genitourinary, or gastrointestinal procedures?
A: No, it is not routinely recommended for these procedures.
Q: Why is prophylaxis not routinely recommended for these procedures?
A: These procedures can cause bacteremia, but there is no clear association with the development of infective endocarditis. Prophylaxis may expose patients to the adverse effects of antimicrobials when the evidence of benefit has not been proven.
Q: What should be done if patients at risk of endocarditis are undergoing gastrointestinal or genitourinary tract procedures at a site where infection is suspected?
A: They should receive appropriate antibacterial therapy that includes cover against organisms that cause infective endocarditis.
Q: What measures should be taken for patients at risk of infective endocarditis?
A: They should be advised to maintain good oral hygiene, told how to recognize signs of infective endocarditis, and advised when to seek expert advice.
Q: Who are considered patients at risk of infective endocarditis?
A: Patients with valve replacement, acquired valvular heart disease with stenosis or regurgitation, structural congenital heart disease, hypertrophic cardiomyopathy, or a previous episode of infective endocarditis.
These flashcards can help you remember the key points for antibacterial prophylaxis in cardiology and vascular surgery, as well as the recommendations for infective endocarditis.
Infective Endocarditis: Antibacterial Prophylaxis
Q: Is chlorhexidine mouthwash recommended for the prevention of infective endocarditis in at-risk patients undergoing dental procedures?
A: No, it is not recommended.
Q: Is antibacterial prophylaxis routinely recommended for the prevention of infective endocarditis in patients undergoing dental, respiratory, genitourinary, or gastrointestinal procedures?
A: No, it is not routinely recommended for these procedures.
Q: Why is prophylaxis not routinely recommended for these procedures?
A: These procedures can cause bacteremia, but there is no clear association with the development of infective endocarditis. Prophylaxis may expose patients to the adverse effects of antimicrobials when the evidence of benefit has not been proven.
Q: What should be done if patients at risk of endocarditis are undergoing gastrointestinal or genitourinary tract procedures at a site where infection is suspected?
A: They should receive appropriate antibacterial therapy that includes cover against organisms that cause infective endocarditis.
Q: What measures should be taken for patients at risk of infective endocarditis?
A: They should be advised to maintain good oral hygiene, told how to recognize signs of infective endocarditis, and advised when to seek expert advice.
Q: Who are considered patients at risk of infective endocarditis?
A: Patients with valve replacement, acquired valvular heart disease with stenosis or regurgitation, structural congenital heart disease, hypertrophic cardiomyopathy, or a previous episode of infective endocarditis.
These flashcards can help you remember the key points for antibacterial prophylaxis in cardiology and vascular surgery, as well as the recommendations for infective endocarditis.
