GPs,GP trainees,Hospital doctors....
Should patients at risk of infective endocarditis receive antibiotic prophylaxis before dental procedures?
Infective endocarditis is a life threatening disease with 30% one year mortality that affects three to 10 per 100 000 population per year—the average general practitioner will see one case every 20 years. Infective endocarditis occurs when bacteria enter the bloodstream through the mouth, gut, or skin, and replicate within the heart to form a “vegetation,” which is usually adherent to one of the valves. Specific patient subgroups are at increased risk of infective endocardititis as a result of damaged cardiac endothelium, abnormal blood flow, intracardiac prosthetic material, immunosuppression, or recurrent bacteraemia. Read the article on this subject then take the multiple choice assessment.
Upon completion of this module you should know:
- How to advise patients at risk of endocarditis about antibiotic prophylaxis
- What types of heart conditions place patients at most risk
- What prophylaxis to offer when it is appropriate.
Assessment questions were written by BMJ clinical editors.
08 Sep 2017
08 Sep 2017
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