2Clinica Pediatrica, IRCCS Pediatrico “Burlo Garofolo”, Trieste
3Pediatra di famiglia, Valdagno (Vicenza)
Indirizzo per corrispondenza: firstname.lastname@example.org
Key words: Prophylaxis, Infective endocarditis, Guidelines
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.
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