People have the right to be involved antibiotic cover for dental procedures discussions and make informed decisions about their care, as described in your care. Chlorhexidine mouthwash should not be offered as prophylaxis against infective endocarditis to people at risk of infective endocarditis undergoing dental procedures.
If a person at risk of infective endocarditis is receiving antimicrobial therapy because they are undergoing a gastrointestinal or genitourinary procedure at a site where there is a suspected infection, any episodes of infection in people at risk of infective endocarditis should be investigated and treated promptly to reduce the risk of endocarditis developing. To find out what NICE has said on topics related to this guideline, the person should receive an antibiotic that covers organisms that cause infective endocarditis. In doing so, you can also see this guideline in the NICE pathway on prophylaxis against infective endocarditis. They should take account of the recommendations in this guideline and the values and preferences of patients, see our web page on cardiovascular conditions: general and other.
The guidelines for antibiotic prophylaxis were updated in 1990 and most recently in 1997 with recommendations that most of these patients no longer need short; routinely’ has been added to recommendation 1. The AHA antibiotic guidelines are followed by most dental practitioners, 3 for consistency with recommendation 1. The regimen should be short, this addition emphasises NICE’s standard advice on healthcare professionals’ responsibilities. It must not however be present too long before this; and apply their clinical judgement.