Interní Med. 2006; 8(6): 270-273

Instruction for prevention of bacterial endocarditis

doc. MUDr. Petr Heinc Ph.D

I. interní klinika FN a LF UP Olomouc

Bacterial endocarditis unexpectedly develops in a case of bacteremia resulting from mucosal or skin surface damage but mostly it occurs due to injury during planned medical instrumentation. Year incidence of bacterial endocarditis is only 2–5/100 000 inhabitants but it’s mortality is about 10–30%. Risk of bacterial endocarditis increases with severity of the underlying heart disease and therefore the prophylaxis of bacterial endocarditis seems to be unavoidable. Patients with heart diseases are divided into groups associated with high, mild and negligible risk of bacterial endocarditis, with a special regard to mitral valve prolapse syndrome. Dental, respiratory, gastrointestinal, genitourinary and other procedures recommended for prophylaxis of bacterial endocarditis and procedures not recommended for prophylaxis are pointed out. General prophylactic regimens and specific antibiotics courses according to localization of potential source of bacteremia are postulated.

Keywords: Key words: bacterial endocarditis, severity of heart disease, risk of bacterial endocarditis, methods of prevention.

Published: June 1, 2006  Show citation