Desde 2007 estima-se que houve uma redução de 80% na prescrição de antibiótico na prevenção da Endocardite Infecciosa.
Mas ainda hoje em dia muitos profissionais continuam medicando sem necessidade, somente nas condições deve-se indicar uma profilaxia. Não seja mais um a medicar sem necessidade.
Antibiotic prophylaxis with dental procedures is reasonable only for patients with cardiac conditions associated with the highest risk of adverse outcomes from endocarditis, including:
1. Prosthetic cardiac valve or prosthetic material used in valve repair.
2. Previous endocarditis.
3. Congenital heart disease only in the following categories:
– Unrepaired cyanotic congenital heart disease, including those with palliative shunts and conduits
– Completely repaired congenital heart disease with prosthetic material or device, whether placed by surgery or catheter intervention, during the first six months after the procedure*
- Repaired congenital heart disease with residual defects at the site or adjacent to the site of a prosthetic patch or prosthetic device (which inhibit endothelialization)
4 Cardiac transplantation recipients with cardiac valvular disease
*Prophylaxis is reasonable because endothelialization of prosthetic material occurs within six months after the procedure
