venerdì 20 aprile 2007

Le nuove linee guida per la prevenzione dell'endocardite batterica

Sono uscite le nuove linee guida per la prevenzione dell'endocardite batterica. La notevole novità è che vengono drasticamente ridotte le indicazioni della profilassi antibiotica, prima di procedure dentali o sull'apparato respiratoiro o sulla cute, ai pazienti ad alto rischio (portatori di protesi valvolari,riceventi un trapianto cardiaco che hanno sviluppato una valvulopatia,pazienti con storia di endocardite e alcune cardiopatie congenite)
Qui il PDF completo.

New guidelines from the American Heart Association greatly reduce the number of patients for whom antibiotic prophylaxis is recommended to prevent infective endocarditis.

The guidelines, released online in Circulation, recommend prophylaxis only in patients at highest risk for an adverse outcome from endocarditis. These include patients with prosthetic cardiac valves, heart transplant recipients who develop cardiac valvulopathy, those who have previously had infective endocarditis, and some patients with congenital heart disease (unrepaired cyanotic CHD, up to 6 months after a repair with prosthetic material or device, or repaired CHD with residual defects).

In these patients, the guidelines recommend prophylaxis before dental procedures involving the gingival tissue or the periapical region of the teeth or that perforate the oral mucosa. These patients should also receive prophylaxis for procedures on the respiratory tract, infected skin, skin structures, or musculoskeletal tissue.

Antibiotic prophylaxis is not recommended for genitourinary or gastrointestinal tract procedures.

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