The same precautions must be observed over the years after the operation to open heart surgery, which had been recommended for patients with non-exposed dental, gastrointestinal, urinary and other procedures. The risk of Endocarditis remains uncertain, and particularly significant in patients with heart valves protezirovannymi who have seen significant mortality from Endocarditis. Patients with isolated secondary defect auricular walls, restored without synthetic patches, and those who have been ushivaniyu and sharing stored blood protoka not belong to the group risk of Endocarditis within six months after the operation. There is no evidence that patients subjected to coronary artery bypass operation, are at risk of Endocarditis, unless there are other heart defects. Therefore, antibiotics to protect against Endocarditis these patients do not need.
Other indications for the prevention of antibiotics to prevent Endocarditis.
There susceptible patients prophylaxis for the prevention of Endocarditis also shown in the surgery of any infected or contaminated tissue, including cutting and draining abscesses. Under these circumstances, drugs are selected individually, but in most cases before lzhny include antibiotics effective against Staphylococcus aureus.
Preventing antibiotic with surgical and dental procedures set forth herein should also be conducted to patients with earlier registered cases of bacterial Endocarditis, even otsu-gstvie clinically defined heart disease.
Patients with podsazhennym transvenoznym driver heart rhythm are at low risk diversity Gia Endocarditis, but when endocarditis occurs, these patients it is mainly caused by staphylococcus. However, dentists and doctors can choose which of prophylactic antibiotics to appoint a view, when these patients are held dental and surgical intervention. The same recommendation applies to patients with arteriovenous shunt in kidney dialysis. Endocarditis Prevention also requires patients to ventrikulo-Atri associate with hydrocephalus shunt, as there are reported cases of bacterial Endocarditis in these patients.
Preventive introduction of antibiotics is not required when the diagnostic cardiac catheterization and angiography, as well as with adequate aseptic technique opportunity Endocarditis after these procedures extremely low.