Infective Endocarditis

Question 1

what is necessary to cause IE?

Answer 1

bactereamia in a pt with a predisposing cardiac lesion

Question 2

what were pt’s given over last 50 years who were at risk of IE?

Answer 2

pre exposure prophylaxis - broad spec antibiotics

Question 3

what has been proved recently against the use of pep?

Answer 3

no increase of fatalaties without pep
not cost effective
no link between IE and dental/non dental procedures
reg TB = greater risk of IE
no clinical effectiveness

Question 4

what pt’s are at risk of IE?

Answer 4

valve replacement pt’s, valvular heart disease + stenosis/regurgitation, structural congenital heart disease, prev IE

Question 5

what did the BDJ find in 2011?

Answer 5

antibiotic use decreased by 78.6% and no increase of deaths