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Bacterial endocarditis (prophylaxis): Basic Disease Information - iMedix

Bacterial endocarditis (prophylaxis)

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Bacterial endocarditis (prophylaxis)

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Infective Endocarditis: Prophylaxis

What is Bacterial Endocarditis?

Bacterial endocarditis is an infection of the inner lining of the heart (endocardium) or heart valves, usually caused by bacteria entering the bloodstream and attaching to the heart. It can damage heart tissues and is a serious condition.

Who is at Risk for Bacterial Endocarditis?

Individuals with existing heart conditions like congenital heart defects, artificial heart valves, or a history of endocarditis are at higher risk. Intravenous drug users and those with weakened immune systems are also at increased risk.

What is the Prophylaxis for Bacterial Endocarditis?

Prophylaxis for bacterial endocarditis involves taking antibiotics before certain medical or dental procedures that could introduce bacteria into the bloodstream. This is especially important for high-risk individuals.

What Procedures Require Endocarditis Prophylaxis?

Prophylaxis is recommended for procedures that involve manipulation of gingival tissue, the periapical region of teeth, or perforation of the oral mucosa, and for surgeries on the respiratory tract, infected skin, or musculoskeletal tissue.

Which Antibiotics are Used for Endocarditis Prophylaxis?

Common antibiotics used include amoxicillin or, for those allergic to penicillin, clindamycin, azithromycin, or clarithromycin. The specific antibiotic and dosage depend on the individual’s health condition and the type of procedure.

How is Bacterial Endocarditis Diagnosed?

Diagnosis typically involves a physical examination, blood tests to identify bacteria, and imaging tests like echocardiography to visualize heart structures and any damage caused by the infection.

Can Bacterial Endocarditis be Prevented?

Prevention includes maintaining good oral hygiene, regular dental check-ups, avoiding intravenous drug use, and endocarditis prophylaxis before certain medical or dental procedures for those at high risk.

Prophylaxis refers to preventive measures taken to reduce the risk of bacterial endocarditis, particularly in individuals with certain heart conditions or those undergoing invasive medical procedures. These procedures may introduce bacteria into the bloodstream, increasing the likelihood of bacterial endocarditis among susceptible individuals.

Prophylactic treatment typically involves the administration of antibiotics before invasive procedures to minimize the risk of bacterial infection. This approach aims to prevent bacteria from colonizing damaged heart tissues and causing endocarditis.

While prophylaxis is recommended in specific situations, it is essential to consult with a healthcare professional to determine the appropriate course of action based on individual risk factors and medical history. Effective prophylaxis can significantly reduce the incidence of bacterial endocarditis and its potentially severe complications.

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DiseaseCauses
Bacterial endocarditis (prophylaxis)
  • Poor oral hygiene
  • Existing heart disorders
  • Intravenous drug use
  • Previous episode of endocarditis
  • Undergoing invasive dental or surgical procedures
  • Artificial heart valves or prosthetic materials in the heart
  • Congenital heart defects
  • Immune system disorders

General Symptoms:

  • High fever
  • Fatigue and weakness
  • Shortness of breath
  • Chest pain
  • Sweating, especially at night
  • Swelling in the legs or abdomen
  • New or worsening heart murmur
  • Flu-like symptoms such as chills and body aches
  • Unexplained weight loss
  • Joint pain and swelling
  • Headaches
  • Changes in skin color or appearance
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