Infective Endocarditis

Question 1

What kind of dental procedure would warrant antibiotic prophylaxis in some patients with CHD?

Answer 1

Procedures that involve manipulation of gingival tissue or the peri-apical region of teeth or perforation of the oral mucosa

Question 2

List indications for IE prophy in patients with CHD.

Answer 2

• Prosthetic valve or prosthetic material used for cardiac valve repair
• Previous IE
• Unrepaired and palliated cyanotic CHD (surgically constructed palliative shunts and conduits)
• During the 6 months after a completely repaired CHD with prosthetic materials, whether placed by surgery or catheter intervention.
• Repaired CHD with residual defects at the site or adjacent to the site of a prosthetic patch or prosthetic device that inhibits endotheliali