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Prevention of Infective Endocarditis in Patients with Congenital Heart Disease

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Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care

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Abstract

Infective endocarditis is still a life-threatening event that may significantly impair long-term prognosis of patients with cardiac disease. The profile of infective endocarditis has changed over the past two decades with decreasing cases in rheumatic cardiac disease and increasing cases in patients who survive with congenital heart disease. Given high rates of morbidity and mortality of infective endocarditis episodes, antibiotic prophylaxis has long been recommended for high-risk groups. Guidelines have serially changed over years. The most recent revised recommendations significantly differ from previous guidelines and give new insights into the prophylaxis of infective endocarditis. Emphasis has shifted to oral activities and particularly on teeth brushing. Both buccal and skin hygiene may present the greatest threats for individuals at risk of infective endocarditis. Significant limitations in both at-risk patients and procedures result in a potential and substantial change in clinical practice and raise concerns about the safety and reliability of these new recommendations for patients with congenital heart disease.

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Author information

Authors and Affiliations

  1. Department of Pediatric and Congenital Heart Disease, Cardiovascular Hospital Louis Pradel, 28 avenue Doyen Lepine, Lyon, 69677, France

    Sylvie Di Filippo

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  1. Sylvie Di Filippo
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Correspondence to Sylvie Di Filippo .

Editor information

Editors and Affiliations

  1. Dept. of Pediatric Cardiology, Children's Hospital Colorado, Univ. of Colorado, Denver, Aurora, Colorado, USA

    Eduardo M. Da Cruz

  2. Dept. Pediatric Cardiology, Children's Hospital Colorado, Univ. of Colorado, Denver, Aurora, Colorado, USA

    Dunbar Ivy

  3. Pediatric Cardiac Surgery, Children's Hospital Colorado, Univ. of Colorado, Denver, Aurora, Colorado, USA

    James Jaggers

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© 2014 Springer-Verlag London

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Filippo, S.D. (2014). Prevention of Infective Endocarditis in Patients with Congenital Heart Disease. In: Da Cruz, E., Ivy, D., Jaggers, J. (eds) Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care. Springer, London. https://doi.org/10.1007/978-1-4471-4619-3_3

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  • DOI: https://doi.org/10.1007/978-1-4471-4619-3_3

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4618-6

  • Online ISBN: 978-1-4471-4619-3

  • eBook Packages: MedicineReference Module Medicine

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