Linee guida
Profilassi dell’endocardite batterica
PREVENTION OF BACTERIAL ENDOCARDITIS
FEDERICO MARCHETTI
Pediatra di libera scelta, ASL Lanciano-Vasto (Chieti)
Marzo 1998 - pagg. 185 -187
Abstract
Guidelines for prevention of bacterial endocarditis
have been recently revised by the
American Heart Association and approved
by the American Academy of Pediatrics.
The revised guidelines aim at simplifying
both eligibility criteria and antibiotic regimens.
A cost-benefit analysis should be made
for each patient taking into account the
risk of bacteremia associated with various
procedures and the risk of adverse reactions
to drugs. High and moderate risk patients
are identified on the basis of the type
of cardiac anomaly. Different antibiotic
prophylaxis regimens are proposed: amoxycillin
is suggested to moderate risk patients
for low risk procedures and ampicillin
plus gentamicin to high risk patients undergoing
high risk procedures. Different options
are proposed for patients with allergy
to penicillin.
Suggerite dall'AI
Classificazione MeSH
Bibliografia
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2. Dajani AS, Bisna AL, Chung KJ, et al: Prevention of bacterial endocarditis. JAMA 264, 2919-2922, 1990.
3. Vitiello R, Kaplan EL: La profilassi dell’endocardite batterica. Medico e Bambino 1, 18- 24, 1993.
4. Horstkotte D, Rosin H, Friedrichs W, Loogen F: Contribution for choosing the optimal prophylaxis of bacterial endocarditis. Eur Heart J 8, Suppl, 379-81, 1987.
5. Imperiale TF, Horwitz RI: Does prophylaxis prevent postdental infective endocarditis? A controlled evaluation of protective efficacy. Am J Med 88, 131-6, 1990.
6. van der Meer JTM, van Wijk W, Thompson J, Vandenbroucke JP, Valkenburg HA, Michel MF: Efficacy of antibiotic prophylaxis for prevention of native-valve endocarditis. Lancet 339, 135-9, 1992.
7. Durack DT: Prevention of infective endocarditis. NEJM 332, 38-44, 1995