Navigation Links
New Guidelines: Antibiotic Prophylaxis
Date:2/14/2008

HARRISBURG, Pa., Feb. 14 /PRNewswire-USNewswire/ -- Until recently, it was recommended that many patients with cardiac conditions receive short-term antibiotics prior to receiving dental treatment to prevent the risk of infective endocarditis (IE). The American Heart Association (AHA) has since revised those guidelines and the revisions bring good news for most cardiac patients: many patients who have taken prophylactic antibiotics routinely in the past no longer need them.

The American Dental Association (ADA) provided input to the AHA on the new guidelines, which were also developed in part by the Infectious Diseases Society of America and the American Academy of Pediatrics. This group reviewed and analyzed information from both national and international experts on IE and revised guidelines were released last April.

The updated guidelines state that patients who have taken prophylactic antibiotics 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

These revisions are based on scientific evidence that conclude that the risks of taking preventive antibiotics, such as adverse reactions to the antibiotics and development of drug resistant bacteria, outweigh the benefits for most patients.

However, as with any guidelines, there are exceptions. Preventive antibiotics prior to dental procedures are still advised for patients with:

-- Artificial heart valves

-- History of IE

-- Unrepaired or incompletely repaired cyanotic congenital heart disease, including those with palliative shunts and conduits

-- A completely repaired congenital heart defect with prosthetic material or device, whether placed by surgery or catheter intervention, during the first six months after the procedure or any repaired congenital heart defect with residual defect at the site or adjacent to the site of a prosthetic patch or a prosthetic device

-- Any cardiac transplant that develops a problem in a heart valve

The Pennsylvania Dental Association (PDA) stresses the importance of maintaining good oral hygiene habits as an essential and easy way to prevent IE, and offers the following tips:

-- Brush your teeth twice a day with an ADA-accepted fluoride toothpaste. Replace your toothbrush as soon as the bristles become frayed, about every three to four months. Floss daily to remove plaque stuck between the teeth.

-- Eat a well-balanced diet, limiting sugary snacks and beverages.

-- See your dentist regularly for cleanings and oral exams.

For more information on other oral health topics, visit PDA's website at http://www.padental.org.


'/>"/>
SOURCE Pennsylvania Dental Association
Copyright©2008 PR Newswire.
All rights reserved

Related medicine technology :

1. For Most, Good Oral Care Does More Than Antibiotics to Prevent Dental-Related Heart Problems, Reports the Harvard Heart Letter
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:9/22/2017)... 2017 AVACEN Medical (AVACEN) announced that its ... helping those with the widespread pain associated with fibromyalgia ... in Essex, England commented, "I ... experiencing no sleep at all, tremendous pain, with every ... recommend [the AVACEN 100] enough, how this has and ...
(Date:9/18/2017)... , Sept. 18, 2017 EpiVax, ... of bioinformatics and immune engineering, today announced ... influenza A (H7N9) vaccine. ... to seasonal influenza and presents a challenge ... prior exposure to be effective. Using state-of-the-art ...
(Date:9/12/2017)...  ValGenesis Inc., the global leader in Enterprise ... announce the appointment of Dr. Ajaz Hussain ... Directors and Chairman of Advisory Board beginning September ... to manage their entire validation lifecycle process electronically ... process. Furthermore, ValGenesis VLMS enables rigorous compliance, helps ...
Breaking Medicine Technology:
(Date:10/13/2017)... , ... October 13, 2017 , ... The American Board ... become its next President and Chief Executive Officer, succeeding Dr. James C. Puffer upon ... beginning July 1, 2018 until Dr. Puffer’s retirement at the end of 2018. Upon ...
(Date:10/13/2017)... ... October 13, 2017 , ... ... ‘17, and Jennifer Huggins, PharmD ’17, along with clinical associate professor Janice ... of cardiovascular diseases during the 15th Annual Women’s Health Conference. The SIU ...
(Date:10/13/2017)... ... , ... Many families have long-term insurance that covers care for a family ... for care if the client has a cognitive impairment diagnosis. , “What this ... often waived, so the benefits from their insurance start immediately,” said Mechell Vieira, owner ...
(Date:10/13/2017)... Milford, NJ (PRWEB) , ... October 13, 2017 , ... ... weekend at scenic Alexandria Park in Milford, NJ. This free event, sponsored by ... and physical activity. The fun run is geared towards children of all ages; ...
(Date:10/13/2017)... ... 13, 2017 , ... Coveros, a leader in agile coaching ... contract by the Center for Medicare and Medicaid Services (CMS). The Enterprise Agile ... of Agile methodologies in a consistent and high value manner across CMS programs. ...
Breaking Medicine News(10 mins):