APPENDIX M Antibiotic Prophylactic Regimens
These prophylactic regimens are adapted from Prevention of Bacterial Endocarditis: Recommendations by the American Heart Association by the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease and are endorsed by the American Dental Association.
The Endocarditis Committee of the American Heart Association (AHA), together with national and international experts on bacterial endocarditis (BE), extensively reviewed published studies to determine whether dental, gastrointestinal (GI), or genitourinary (GU) tract procedures are possible causes of BE. These experts determined that no conclusive evidence links dental, GI, or GU tract procedures with the development of BE.
The current practice of giving patients antibiotics before a dental procedure is no longer recommended except for patients at the highest risk of adverse outcomes from BE. The Endocarditis Committee could not exclude the possibility that an exceedingly small number of cases of BE, if any, might be prevented by antibiotic prophylaxis before a dental procedure. If such a benefit from prophylaxis exists, it should be reserved for certain patients (see following list). The committee recognized the importanc/>