CDA Position Adjustment: Antibiotic prophylaxis to prevent infective endocarditis
CDA adjusts position on antibiotic prophlylaxis to prevent infective endocarditis
The CDA Position on the Prevention of Infective Endocarditis (approved in 2007 and reaffirmed in 2013 by the CDA Board of Directors) is aligned with the American Heart Association’s (AHA) 2007 guidelines for antibiotic prophylaxis prior to dental procedures to prevent infective endocarditis.
Recently the AHA published “Corrections” to the 2007 guidelines that clarified the language in the guideline. In particular, a change was made to the wording of the list of cardiac conditions associated with the highest risk of adverse outcome from endocarditis for which antibiotic prophlylaxis with dental procedures is reasonable. The cardiac condition “artificial heart valve” was replaced with “prosthetic cardiac valve or prosthetic material used for cardiac valve repair.”
CDA’s Committee on Clinical and Scientific Affairs (CCSA) contacted the AHA to get more information about the rationale for the change. Based on the answer received from AHA, the committee confirmed that the change was editorial in nature, however to ensure appropriate antibiotic prophylaxis for these dental patients, dentists should include cardiac valve repairs in their medical questionnaire if they have not already done so.
Click here for CDA Position on Prevention of Infective Endocarditis
Click here for Prevention of Infective Endocarditis: Guidelines from the American Heart Association