Surgical Prophylaxis: Pediatrics
Bacterial Endocarditis Prevention with Dental Procedures

Bacterial Endocarditis Prevention with Dental Procedures

Criteria for Prophylaxis

Indicated for dental procedures that involve manipulation of gingival tissue, manipulation of the periapical region of teeth, or perforation of the oral mucosa in patients with:

  1. Prosthetic cardiac valves, including transcatheter-implanted prostheses and homografts.
  2. Prosthetic material used for cardiac valve repair, such as annuloplasty rings and chords.
  3. Previous infective endocarditis.
  4. Unrepaired cyanotic congenital heart disease or repaired congenital heart disease, with residual shunts or valvular regurgitation at the site of or adjacent to the site of a prosthetic patch or prosthetic device.
  5. Cardiac transplant with valve regurgitation due to a structurally abnormal valve.

Notes

Antibiotic prophylaxis should be administered in a single dose 30-60 minutes before the procedure

Please see Algorithm for Antibiotic Prophylaxis Prior to Dental Procedures in both Cancer Patients with underlying Immunodeficiency and Immunocompetent Patients (With or Without a Central Line) on AMS Website on Pulse for more information in this patient population