Linee guida
La profilassi dell’endocardite infettiva: punto e a capo
PROPHYLAXIS AGAINST INFECTIVE ENDOCARDITIS: TIME FOR CHANGE?
Biancamaria D’Agata1, Emanuela Berton1, Fabrizio Fusco3, Alessandra Benettoni1, Federico Marchetti2
1SS Cardiologia
2Clinica Pediatrica, IRCCS Pediatrico “Burlo Garofolo”, Trieste
3Pediatra di famiglia, Valdagno (Vicenza)
Settembre 2011 - pagg. 444 -447
Abstract
Guidelines for the prevention of bacterial endocarditis have been recently revised by
American Heart Association and European Society of Cardiology. By now, in contrast to
previous indications, prophylaxis is recommended only for high risk patients, and only in
case of really invasive dentistry care or procedures of other districts with pre-existing infections.
In this way a lot of patients have suddenly lost their indication for the prophylaxis.
Of course, this fundamental change has already created a great debate in the scientific
community, as it radically changes habits deeply embedded in the daily life of both physicians
and patients. Surely stronger evidence is still needed in order to demonstrate the
efficacy (or inefficacy) of antibiotic prophylaxis of bacterial endocarditis.
Suggerite dall'AI
Classificazione MeSH
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Corrispondenza: marchetti@burlo.trieste.it