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Our patients do not need endocarditis prophylaxis for genitourinary tract procedures: insights from the 2007 American Heart Association guidelines.

Castillo, E; Magee, LA; von Dadelszen, P; Money, D; Blondel-Hill, E; van Schalkwyk, J (2008) Our patients do not need endocarditis prophylaxis for genitourinary tract procedures: insights from the 2007 American Heart Association guidelines. Journal of Obstetrics and Gynaecology Canada, 30 (9). pp. 796-799. ISSN 1701-2163 https://doi.org/10.1016/S1701-2163(16)32944-9
SGUL Authors: von Dadelszen, Peter

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Abstract

The 2007 American Heart Association guidelines for the prevention of infective endocarditis have dramatically reduced both the types of eligible procedures and the types of eligible cardiac lesions that require prophylaxis. Antibiotic prophylaxis to prevent infective endocarditis is not indicated for any patient undergoing obstetric and/or gynaecological procedures, not even for patients with underlying cardiac lesions with the highest risk of developing complications from endocarditis. This sharp departure from previously published guidelines relies on the recognition that endocarditis is more likely to develop from "randomly occurring" bacteremia (e.g., from brushing teeth) than from invasive procedures and that antibiotic prophylaxis has not been proven to be effective. A short discussion on enterococcal infections associated to obstetric and gynaecological procedures and therapeutic implications is presented.

Item Type: Article
Additional Information: © 2008 Society of Obstetricians and Gynaecologists of Canada. Published by Elsevier Inc. All rights reserved. Made available with permission from the publisher. Contact publisher for any further re-use.
Keywords: American Heart Association, Antibiotic Prophylaxis, Endocarditis, Female, Gynecologic Surgical Procedures, Humans, Practice Guidelines as Topic, Pregnancy, Pregnancy Complications, Infectious, Risk Factors, United States, Humans, Pregnancy Complications, Infectious, Endocarditis, Antibiotic Prophylaxis, Gynecologic Surgical Procedures, Risk Factors, Pregnancy, American Heart Association, United States, Female, Practice Guidelines as Topic, 1114 Paediatrics And Reproductive Medicine
SGUL Research Institute / Research Centre: Academic Structure > Molecular and Clinical Sciences Research Institute (MCS)
Journal or Publication Title: Journal of Obstetrics and Gynaecology Canada
ISSN: 1701-2163
Language: eng
Dates:
DateEvent
1 September 2008Published
Publisher License: Publisher's own licence
PubMed ID: 18845049
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/107537
Publisher's version: https://doi.org/10.1016/S1701-2163(16)32944-9

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