Pharmacology Flashcards
Who should have prophylactic antibiotics with heart cases? including surgery type?
First, only patients who are undergoing dental procedures that “involve the manipulation of gingival tissue…periapical region of teeth, or perforation of the oral mucosa” are to be considered for prophylactic antibiotics.
These types of high-risk cardiac conditions are as follows (list adapted from table “Recommendation for IE Prophylaxis” in section 2.4.2 of the 2017 AHA/ACC guideline):
Prosthetic cardiac valves including transcatheter-implanted prosthetic valves
Patients with implanted prosthetic material such as annuloplasty rings and artificial chordae tendineae
Patients with a history of infectious endocarditis
Patients with a history of unrepaired cyanotic congenital heart disease
Including patients with a repair, but with a residual shunt or valvular regurgitation near an implanted patch or device
Patients with a history of cardiac transplantation who have a regurgitant valvular lesion due to a structurally abnormal valve
