Infective endocarditis, the conundrum of antibiotic prophylaxis.

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dc.contributor.authorAnupama, Pen_US
dc.contributor.authorGopalakrishnan, N Sen_US
dc.date.accessioned2009-05-28T07:37:23Z
dc.date.available2009-05-28T07:37:23Z
dc.date.issued1995-07-01en_US
dc.description.abstractInfective endocarditis (I.E.) is a common bacterial infection of the endocardium, which before the advent of antibiotics, had a high mortality rate. Endocarditis has been described as a serious and a potentially fatal condition in which the heart beats in a muffled march towards the grave, in quick time in the acute form and with a slower, but as deadly rhythm, in the subacute form. I.E. can occur at any period of life, but presently, there has been a shift towards younger individuals due to intravenous drug abuse. Thus the overall incidence since the pre-antibiotic era has remained constant. This has been the situation in spite of the periodic revisions made by the American Heart Association (AHA) for the guidelines for antibiotic prophylaxis. In India there are no guidelines issued by any professional organisations and hence the decision to use antibiotic prophylaxis depends on the dentist's awareness of the patient's predisposition, the standard regime learnt from a textbook, the patient's economic status and belief to comply with the advice and the choice of antibiotic, route of administration and dose. In this paper, an attempt is made to collect data on the incidence of I.E. from two large teaching hospitals and use it to decide whether antibiotic prophylaxis of patients predisposed to I.E. should be followed or not.en_US
dc.description.affiliationDepartment of Pediatric Dentistry, S.D.M. College of Dental Sciences, Dharwad, Karnataka.en_US
dc.identifier.citationAnupama P, Gopalakrishnan NS. Infective endocarditis, the conundrum of antibiotic prophylaxis. Indian Journal of Dental Research. 1995 Jul-Sep; 6(3): 83-93en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/51423
dc.language.isoengen_US
dc.source.urihttps://www.ijdr.inen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAge Distributionen_US
dc.subject.meshAgeden_US
dc.subject.meshAntibiotic Prophylaxis --methodsen_US
dc.subject.meshBacteremia --epidemiologyen_US
dc.subject.meshChilden_US
dc.subject.meshDrug Therapy, Combinationen_US
dc.subject.meshEndocarditis, Bacterial --epidemiologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshIncidenceen_US
dc.subject.meshMaleen_US
dc.subject.meshMicrobial Sensitivity Tests --statistics & numerical dataen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshSex Distributionen_US
dc.titleInfective endocarditis, the conundrum of antibiotic prophylaxis.en_US
dc.typeJournal Articleen_US
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