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Prevention of Infective Endocarditis Guidelines From the American Heart Association ,[object Object],[object Object]
Summary of AHA-Recommended Antibiotic Regimens From 1955 to 1997 for Dental/Respiratory Tract Procedures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Continued….  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Reasons for Revision of the IE Prophylaxis Guidelines ,[object Object],[object Object],[object Object],[object Object]
Summary of Changes From  the 1997 Guidelines ,[object Object],[object Object],[object Object]
Continued.. ,[object Object],[object Object],[object Object],[object Object]
Cardiac Conditions for Which Prophylaxis of IE is Recommended ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conditions for which prophylaxis is no longer recommended   (1997 moderate risk conditions) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Dental Procedures for Which Endocarditis Prophylaxis is Recommended ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Regimens for a Dental Procedure 50 mg/kg IM or IV 2 gm IM or IV 1 gm IM or IV Ampicillin or cephazolin or cephtriaxone Unable to take oral medication 50 mg/kg IM or IV 20 mg/kg IM or IV 1 gm IM or IV 600 mg IM or IV Cephazolinn or cephtriaxone Clindamycin phosphate Allergic to penicillins or ampicillin and unable to take oral medication 50 mg/kg 20 mg/kg 15 mg/kg 15 mg/kg 2 gm 600 mg 500 mg 500 mg Cephalexin  or Clindamycin  or Azithromycin  or   Clarithromycin Allergic to penicillin or ampicillin  Oral 50 mg/kg 2 gm Children Adults Amoxicillin Oral Regimen-Single dose 30-60 minutes before procedure Agent Situation
Forgot to give antibiotics to the patient  ,[object Object]
For patients already taking penicillin or amoxicillin (e.g. prevention of acute Rheumatic fever, treatment of sinusitis) ,[object Object]
Summary   ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
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Infective endocarditis prophylaxis

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