Are antibiotics needed for a patient who had a bypass surgery?
Dr. Suham Alexander provided this quick initial response.
Patients at increased risk of infective endocarditis are prescribed prophylactic antibiotics prior to their dental appointment. This population of patients includes:
- Patients who have prosthetic heart valves or heart valves which have been repaired with prosthetic material.
- Patients with a history of endocarditis.
- Heart transplant recipients with abnormal heart valve function.
- Certain congenital heart defects such as:
- Congenital heart defect repaired with prosthetic material or a device for the first 6 months after the repair was completed.
- Repaired congenital heart disease with residual defects (persisting leaks, abnormal flow at or adjacent to a prosthetic valve or prosthetic device).
- Cyanotic congenital heart disease which has not been repaired fully – includes children who have had surgical shunts and conduits.
If there are other questions or specific concerns, the patient’s physician or specialist should be contacted for further advice.