1d • Clinical Question
Possible new questions in pathology infective endocarditis
Q1: Is antibiotic prophylaxis routinely required to prevent infective endocarditis in at-risk patients undergoing interventional procedures?
A1: No. According to NICE guidance (updated 2016), antibiotic prophylaxis is not routinely recommended for preventing infective endocarditis in at-risk patients undergoing procedures involving the dental, respiratory, gastrointestinal, or genitourinary tract.
Q2: Are there any exceptions where antibiotic therapy might still be required in these patients?
A2: Yes. If infection is suspected at the procedural site (e.g. during gastrointestinal or genitourinary tract procedures), appropriate antibacterial therapy should be given to cover organisms that cause infective endocarditis.
Q3: What measures should be taken to reduce the risk of endocarditis in at-risk patients?A3: Patients should be:
- Advised to maintain good oral hygiene
- Informed about signs and symptoms of infective endocarditis
- Told when to seek expert medical advice
Q4: Do dermatological procedures require antibacterial prophylaxis in at-risk patients?
A4: No. Dermatological procedures, including skin biopsies and excision of moles or malignant lesions, do not require antibacterial prophylaxis even in at-risk individuals.
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Possible new questions in pathology infective endocarditis
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