Prevention of Bacterial Endocarditis



AHA Medical/Scientific Statement 


Prevention of Bacterial Endocarditis 


Recommendations by the American Heart Association 
Adnan S. Dajani, MD; Kathryn A. Taubert, PhD; Walter Wilson, MD; Ann F. 
Bolger, MD; Arnold Bayer, MD; Patricia Ferrieri, MD; Michael H. Gewitz, MD; 
Stanford T. Shulman, MD; Soraya Nouri, MD; Jane W. Newburger, MD; Cecilia 
Hutto, MD; Thomas J. Pallasch, DDS, MS; Tommy W. Gage, DDS, PhD; Matthew E. 
Levison, MD; Georges Peter, MD; Gregory Zuccaro, MD
Footnotes 
Objective To update recommendations issued by the American Heart Association 
last published in 1990 for the prevention of bacterial endocarditis in 
individuals at risk for this disease.
Participants An ad hoc writing group appointed by the American Heart 
Association for their expertise in endocarditis and treatment with liaison 
members representing the American Dental Association, the Infectious Diseases 
Society of America, the American Academy of Pediatrics, and the American 
Society for Gastrointestinal Endoscopy.
Evidence The recommendations in this article reflect analyses of relevant 
literature regarding procedure-related endocarditis, in vitro susceptibility 
data of pathogens causing endocarditis, results of prophylactic studies in 
animal models of endocarditis, and retrospective analyses of human 
endocarditis cases in terms of antibiotic prophylaxis usage patterns and 
apparent prophylaxis failures. MEDLINE database searches from 1936 through 
1996 were done using the root words endocarditis, bacteremia, and antibiotic 
prophylaxis. Recommendations in this document fall into evidence level III of 
the US Preventive Services Task Force categories of evidence.
Consensus Process The recommendations were formulated by the writing group 
after specific therapeutic regimens were discussed. The consensus statement 
was subsequently reviewed by outside experts not affiliated with the writing 
group and by the Science Advisory and Coordinating Committee of the American 
Heart Association. These guidelines are meant to aid practitioners but are not 
intended as the standard of care or as a substitute for clinical judgment.
Conclusions Major changes in the updated recommendations include the 
following: (1) emphasis that most cases of endocarditis are not attributable 
to an invasive procedure; (2) cardiac conditions are stratified into high-, 
moderate-, and negligible-risk categories based on potential outcome if 
endocarditis develops; (3) procedures that may cause bacteremia and for which 
prophylaxis is recommended are more clearly specified; (4) an algorithm was 
developed to more clearly define when prophylaxis is recommended for patients 
with mitral valve prolapse; (5) for oral or dental procedures the initial 
amoxicillin dose is reduced to 2 g, a follow-up antibiotic dose is no longer 
recommended, erythromycin is no longer recommended for penicillin-allergic 
individuals, but clindamycin and other alternatives are offered; and (6) for 
gastrointestinal or genitourinary procedures, the prophylactic regimens have 
been simplified. These changes were instituted to more clearly define when 
prophylaxis is or is not recommended, improve practitioner and patient 
compliance, reduce cost and potential gastrointestinal adverse effects, and 
approach more uniform worldwide recommendations.
Endocarditis is a life-threatening disease, although it is relatively 
uncommon. Substantial morbidity and mortality result from this infection, 
despite improvements in outcome due to advances in antimicrobial therapy and 
enhanced ability to diagnose and treat complications. Primary prevention of 
endocarditis whenever possible is therefore very important.
Endocarditis usually develops in individuals with underlying structural 
cardiac defects who develop bacteremia with organisms likely to cause 
endocarditis. Bacteremia may occur spontaneously or may complicate a focal 
infection (eg, urinary tract infection, pneumonia, or cellulitis). Some 
surgical and dental procedures and instrumentations involving mucosal surfaces 
or contaminated tissue cause transient bacteremia that rarely persists for 
more than 15 minutes. Blood-borne bacteria may lodge on damaged or abnormal 
heart valves or on the endocardium or the endothelium near anatomic defects, 
resulting in bacterial endocarditis or endarteritis. Although bacteremia is 
common following many invasive procedures, only certain bacteria commonly 
cause endocarditis. It is not always possible to predict which patients will 
develop this infection or which particular procedure will be responsible.
There are currently no randomized and carefully controlled human trials in 
patients with underlying structural heart disease to definitively establish 
that antibiotic prophylaxis provides protection against development of 
endocarditis during bacteremia-inducing procedures. Further, most cases of 
endocarditis are not attributable to an invasive procedure. The following 
recommendations reflect analyses of relevant literature regarding 
procedure-related endocarditis, including in vitro susceptibility data of 
pathogens causing endocarditis, results of prophylactic studies in 
experimental animal models of endocarditis, and retrospective analyses of 
human endocarditis cases in terms of antibiotic prophylaxis usage patterns and 
apparent prophylaxis failures.
The incidence of endocarditis following most procedures in patients with 
underlying cardiac disease is low. A reasonable approach for endocarditis 
prophylaxis should consider the following: the degree to which the patient's 
underlying condition creates a risk of endocarditis; the apparent risk of 
bacteremia with the procedure (as defined in these recommendations); the 
potential adverse reactions of the prophylactic antimicrobial agent to be 
used; and the cost-benefit aspects of the recommended prophylactic regimen. 
Failure to consider all of these factors may lead to overuse of antimicrobial 
agents, excessive cost, and risk of adverse drug reactions.
This statement provides guidelines for prevention of bacterial endocarditis. 
It is not intended as the standard of care or as a substitute for clinical 
judgment. The current recommendations are an update of those made by the 
committee in 19901 and incorporate new data and include opinions voiced by 
national and international experts at endocarditis meetings around the world.
Cardiac Conditions
Certain cardiac conditions are associated with endocarditis more often than 
others.2 Furthermore, when endocarditis develops in individuals with 
underlying cardiac conditions, the severity of the disease and the ensuing 
morbidity can be variable. Prophylaxis is recommended in individuals who have 
a higher risk for developing endocarditis than the general population and is 
particularly important for individuals in whom endocardial infection is 
associated with high morbidity and mortality.
Table 12-22 stratifies cardiac conditions into high- and moderate-risk 
categories primarily on the basis of potential outcome if endocarditis occurs.
High Risk
Individuals at highest risk are those who have prosthetic heart valves, a 
previous history of endocarditis (even in the absence of other heart disease), 
complex cyanotic congenital heart disease, or surgically constructed systemic 
pulmonary shunts or conduits.2,3 These individuals are at a much higher risk 
for developing severe endocardial infection that is often associated with high 
morbidity and mortality.
Moderate Risk
Individuals with certain other underlying cardiac defects are at moderate risk 
for severe infection.2-4 Congenital cardiac conditions listed in the 
moderate-risk category include the following uncorrected conditions: patent 
ductus arteriosus, ventricular septal defect, primum atrial septal defect, 
coarctation of the aorta, and bicuspid aortic valve. Acquired valvar 
dysfunction (eg, due to rheumatic heart disease or collagen vascular disease) 
and hypertrophic cardiomyopathy are also moderate-risk conditions.
Mitral valve prolapse (MVP) is common, and the need for prophylaxis for this 
condition is controversial. Only a small percentage of patients with 
documented MVP develop complications at any age.5-7 Mitral valve prolapse 
represents a spectrum of valvular changes and clinical behavior.5-7 In view of 
the controversy surrounding the need for prophylaxis of the individual patient 
with MVP, a detailed description of the spectrum of MVP is warranted.
Normal mitral valve leaflets close at or below the plane of the mitral 
annulus. This closure position is controlled by the lengths of the leaflets, 
their attached chordae and papillary muscles, and the systolic size of the 
ventricle. The closure position will shift beyond the annular plane toward the 
left atrium, or prolapse, if the lengths of the valve apparatus, which are 
constant, become too large for the size of the end-systolic ventricle, which 
is variable and dynamic. Dehydration and tachycardia are common causes of 
intermittent MVP. Abnormal motion of normal mitral valves is found on 
echocardiographic examination in a small percentage of the adult and 
adolescent ambulatory population. The high prevalence of such motion 
abnormalities in young adults underscores that MVP is often an abnormality of 
volume status, adrenergic state, or growth phase and not of valve structure or 
function. When normal valves prolapse without leaking, as in patients with one 
or more systolic clicks but no murmurs and no Doppler-demonstrated mitral 
regurgitation, the risk of endocarditis is not increased above that of the 
normal population.2,6,7 Antibiotic prophylaxis against bacterial endocarditis 
is therefore not necessary. This is because it is not the abnormal valve 
motion but the jet of mitral insufficiency that creates the shear forces and 
flow abnormalities that increase the likelihood of bacterial adherence on the 
valve during bacteremia.
Normal mitral valves with normal motion often have minimal leaks detectable by 
Doppler examination. This does not appear to increase the risk of 
endocarditis. In contrast, the regurgitation that occurs with structurally 
normal but prolapsing valves originates from larger regurgitant orifices and 
creates broader areas of turbulent flow. Patients with prolapsing and leaking 
mitral valves, evidenced by audible clicks and murmurs of mitral regurgitation 
or by Doppler-demonstrated mitral insufficiency, should receive prophylactic 
antibiotics.7-11 This is supported by formal cost-benefit analysis.12
Mitral valve prolapse also occurs in the setting of myxomatous degeneration of 
the mitral valve. This is a progressive disorder that has a spectrum of 
manifestations.13,14 The mitral leaflets of these patients appear thickened on 
the echocardiogram, due to accumulations of proteoglycan deposits.15 The 
amount of thickening is variable and may increase with age.16 There is a range 
of valve motion in these patients as well: they may prolapse continuously or 
only with changes in heart rate or volume. Further, when prolapse occurs, it 
may or may not create valvular insufficiency. In patients of any age, 
myxomatous mitral valve degeneration with regurgitation is an indication for 
antibiotic prophylaxis.11,17,18
Anterior mitral valve thickening is commonly found in both competent and 
insufficient myxomatous mitral valves, but its presence increases the 
likelihood of significant mitral regurgitation.16 Those with significant 
regurgitation were older and more likely to be men.16 Other studies have shown 
that male sex and age older than 45 years represent increased risk for 
developing endocarditis.8,10,11,19 Patients with thickened valves that do not 
leak on resting examination often develop regurgitation with exercise. These 
patients with exercise-induced mitral insufficiency have been shown to 
constitute a higher-risk subset for common complications (syncope, congestive 
heart failure, progressive regurgitation requiring valve replacement); 
endocarditis and cerebral embolic events, occurring far less frequently, were 
not demonstrated to be increased in this small series.20 Men older than 45 
years with MVP, without a consistent systolic murmur, may warrant prophylaxis 
even in the absence of resting regurgitation.12,19 
Some experts feel that an audible nonejection click even without a murmur may 
identify patients with a potential for intermittent regurgitation and 
therefore a risk of developing endocarditis. While there are insufficient data 
on this issue, an isolated click may be an indication for more thorough 
evaluation of valve morphology and function, including 
Doppler-echocardiographic imaging or auscultation during maneuvers that elicit 
or augment mitral regurgitation.
While children and adolescents with MVP may have the same symptoms as adults, 
such as palpitations or syncope, the development of symptoms in childhood is 
relatively unusual. The vast majority of children with chest pain or fatigue 
do not have any form of heart disease, including MVP. Careful evaluation is 
nevertheless required in children who have isolated clinical findings, such as 
nonejection systolic click, since this may be the only indicator of important 
mitral valve abnormality requiring prophylaxis.21 In the most recent series of 
reports, MVP has emerged as an important underlying diagnosis associated with 
endocarditis in the pediatric age group.3,21
A clinical approach to determination of the need for prophylaxis in 
individuals with suspected MVP is given in the Figure.23
Negligible Risk
Although endocarditis may develop in any individual, including persons with no 
underlying cardiac defect, the negligible-risk category lists cardiac 
conditions in which the development of endocarditis is not higher than in the 
general population. Whereas in pediatric patients innocent heart murmurs may 
be clearly defined on auscultation, in the adult population other studies such 
as echocardiography may be necessary to confirm that a murmur is innocent. 
Individuals with innocent heart murmurs have structurally normal hearts and do 
not require prophylaxis.
Bacteremia-Producing Procedures
Bacteremias commonly occur during activities of daily living such as routine 
tooth brushing or chewing. With respect to endocarditis prophylaxis, 
significant bacteremias are only those caused by organisms commonly associated 
with endocarditis and attributable to identifiable procedures. The procedures 
for which prophylaxis is recommended are those known to induce such 
bacteremias and are discussed below. Invasive procedures performed through 
surgically scrubbed skin are not likely to produce such bacteremias. Many 
centers do employ periprocedure prophylaxis for transcatheter insertion of 
prosthetic devices (septal occluders and vascular coils), however, although 
there are no data to support the use of antibiotics in the procedures. Routine 
cardiac catheterization and angioplasty do not require such precautions.
Dental and Oral Procedures
Poor dental hygiene and periodontal or periapical infections may produce 
bacteremia even in the absence of dental procedures. The incidence and 
magnitude of bacteremias of oral origin are directly proportional to the 
degree of oral inflammation and infection.24,25 Individuals who are at risk 
for developing bacterial endocarditis should establish and maintain the best 
possible oral health to reduce potential sources of bacterial seeding. Optimal 
oral health is maintained through regular professional care24,26,27 and the 
use of appropriate dental products such as manual and powered toothbrushes, 
dental floss, and other plaque-removal devices. Oral irrigator or air abrasive 
polishing devices used inappropriately or in patients with poor oral hygiene 
have been implicated in producing bacteremia, but the relationship to 
bacterial endocarditis is unknown.24,28-31 Home-use devices pose far less risk 
of bacteremia in a healthy mouth than does ongoing oral inflammation.24,28-31
Antiseptic mouth rinses applied immediately prior to dental procedures may 
reduce the incidence or magnitude of bacteremia.24 Agents include 
chlorhexidine hydrochloride and povidone-iodine. Fifteen milliliters of 
chlorhexidine can be given to all at-risk patients via gentle oral rinsing for 
about 30 seconds prior to dental treatment; gingival irrigation is not 
recommended. Sustained or repeated frequent interval use is not indicated as 
this may result in the selection of resistant micro-organisms.24
Antibiotic prophylaxis for at-risk patients is recommended for dental and oral 
procedures likely to cause bacteremia (Table 222,24-26,28-31). In general, 
prophylaxis is recommended for procedures associated with significant bleeding 
from hard or soft tissues, periodontal surgery, scaling, and professional 
teeth cleaning. Similarly, antimicrobial prophylaxis is recommended for 
tonsillectomy or adenoidectomy. It is recognized that unanticipated bleeding 
may occur on some occasions. In such an event, data from experimental animal 
models suggest that antimicrobial prophylaxis administered within 2 hours 
following the procedure will provide effective prophylaxis.32 Antibiotics 
administered more than 4 hours after the procedure probably have no 
prophylactic benefit. Procedures for which antimicrobial prophylaxis is not 
recommended are also listed (Table 2).
Edentulous patients may develop bacteremia from ulcers caused by ill-fitting 
dentures. Denture wearers should be encouraged to have periodic examinations 
or to return to the practitioner if discomfort develops. When new dentures are 
inserted, it is advisable to have the patient return to the practitioner to 
correct any problems that could cause mucosal ulceration.
If a series of dental procedures is required, it may be prudent to observe an 
interval of time between procedures to both reduce the potential for the 
emergence of resistant organisms and allow repopulation of the mouth with 
antibiotic susceptible flora. Various studies have suggested an interval of 
933 to 1434 days. If possible, a combination of procedures should be planned 
within the same period of prophylaxis.
Respiratory, Gastrointestinal, and Genitourinary Tract Procedures
Surgical procedures involving the respiratory mucosa may lead to bacteremia; 
therefore, antimicrobial prophylaxis is recommended (Table 335-58). The use of 
a rigid bronchoscope may cause mucosal damage, whereas such damage is unlikely 
with a flexible bronchoscope. Endotracheal intubation per se is not an 
indication for antibiotic prophylaxis.
The risk of endocarditis as a direct result of an endoscopic procedure is 
small. Transient bacteremia may occur during or immediately after endoscopy; 
however, there are few reports of infective endocarditis attributable to 
endoscopy.35-43 For most gastrointestinal endoscopic procedures, the rate of 
bacteremia is 2% to 5%, and the organisms typically identified are unlikely to 
cause endocarditis.44,45 The rate of bacteremia does not increase with mucosal 
biopsy, polypectomy, or sphincterotomy.46-48 There are no data to indicate 
that deep biopsy, as may be performed in the rectum or stomach, leads to a 
higher rate of bacteremia.
Some gastrointestinal procedures are associated with a higher rate of 
transient bacteremia; for these procedures, antimicrobial prophylaxis is 
recommended, particularly for patients in the high-risk category (Table 3). 
Esophageal stricture dilation has been associated with bacteremia rates as 
high as 45%.44 However, this number is an average result of several clinical 
studies in which the rate of bacteremia ranged from 0% to 100%.49-52 In only 
one study was the oropharynx the documented source of infection.52 These 
studies were performed with differing methods and involved relatively small 
numbers of patients. Until more data documenting the true rate of bacteremia 
associated with stricture dilation become available, it is prudent to consider 
this procedure as one potentially associated with an increased risk of 
transient bacteremia.
The bacteremia rate associated with sclerotherapy of esophageal varices is 
approximately 31%.44 Bacteremia appears to be most associated with increased 
sclerosant volumes, as can occur with emergency sclerosis for active bleeding, 
and with relatively longer injection needles. The bacteremia rate is lessened 
with the use of shorter injection needles and sterile water.53,54 Endoscopic 
ligation of varices, or banding, is not associated with increased rates of 
transient bacteremia.55
An obstructed biliary tree, due to benign or malignant disease, may be 
colonized with a variety of organisms. A prime risk factor for dissemination 
of infection from an obstructed biliary tree is instrumentation of the 
obstructed region without provision of adequate drainage. The bacteremia rates 
for endoscopic retrograde cholangiography in the absence of ductal obstruction 
are approximately equal to most other endoscopic procedures. Prophylaxis 
should be considered primarily in cases in which biliary obstruction is known 
or suspected.
In biliary tract surgery, or in any operative procedure that involves the 
intestinal mucosa, there is a potential for bacteremia with organisms known to 
cause endocarditis. It is therefore prudent to provide prophylaxis for 
patients at high risk to develop endocarditis.
Surgery, instrumentation, or diagnostic procedures that involve the 
genitourinary tract may cause bacteremia. Although the risk that any 
particular patient will develop endocarditis is low, the genitourinary tract 
is second only to the oral cavity as a portal of entry for organisms that 
cause endocarditis. The rate of bacteremia following urinary tract procedures 
is high in the presence of urinary tract infection (UTI). Sterilization of the 
urinary tract with antimicrobial therapy in patients with bacteriuria should 
be attempted prior to elective procedures, including lithotripsy. Results of a 
preprocedure urine culture will allow the practitioner to choose antibiotics 
appropriate to the recovered organisms. Procedures for which antimicrobial 
prophylaxis is or is not recommended are listed in Table 3.
Many procedures involving the urethra and prostatic bed are associated with 
high rates of bacteremia. The incidence of bacteremia was studied in 300 
patients undergoing one of four different urologic procedures: transurethral 
resection (TUR) of the prostate, cystoscopy, urethral dilation, and urethral 
catheterization.56 Bacteremia was most frequent after TUR of the prostate, 
occurring in 31% of the patients. In the other procedures, bacteremia occurred 
in 24% following urethral dilatation, in 17% following cystoscopy, and in 8% 
following urethral catheterization. Bacteremia was significantly associated 
with both prostatitis on histological examination of resected prostate and 
prior UTI following TUR and with prior UTI following urethral dilatation and 
cystoscopy. Preexisting UTI was the major source of organisms causing the 
bacteremia following TUR but was the source in only about one third of 
patients following the other procedures. Enterococci and Klebsiella were the 
most frequent organisms. Although bacteremia due to gram-negative bacilli is 
unlikely to cause endocarditis unless a prosthetic valve is present, it may 
nevertheless cause life-threatening sepsis. Therefore, an antimicrobial 
regimen effective against the infective urinary pathogen, eg, enteric 
gram-negative bacilli, in addition to the enterococcus, should be administered 
before the invasive genitourinary procedures.
Bacteremia follows uncomplicated vaginal delivery in only 1% to 5% of 
procedures, usually with various types of streptococci22; well-documented 
cases of endocarditis after normal vaginal delivery are uncommon.57 Therefore, 
antibiotic prophylaxis for normal vaginal delivery is not recommended. If an 
unanticipated bacteremia is suspected during vaginal delivery, intravenous 
antibiotics can be administered at that time. No bacteremia has been detected 
in studies following cervical biopsy or manipulation of an intrauterine device 
(IUD) in the absence of obvious infections.22 Bacteremia following removal of 
an infected IUD is unresolved58 but would seem possible and should warrant 
prophylaxis, as would other genitourinary procedures in the presence of 
infection.
Prophylactic Regimens
Prophylaxis is most effective when given perioperatively in doses that are 
sufficient to assure adequate antibiotic concentrations in the serum during 
and after the procedure. To reduce the likelihood of microbial resistance, it 
is important that prophylactic antibiotics be used only during the 
perioperative period. They should be initiated shortly before a procedure and 
should not be continued for an extended period (no more than 6 to 8 hours). In 
the case of delayed healing, or of a procedure that involves infected tissue, 
it may be necessary to provide additional doses of antibiotics for treatment 
of the established infection.
Practitioners must exercise their own clinical judgment in determining the 
choice of antibiotics and number of doses that are to be administered in 
individual cases or special circumstances. Furthermore, because endocarditis 
may occur in spite of appropriate antibiotic prophylaxis, physicians and 
dentists should maintain a high index of suspicion regarding any unusual 
clinical events (such as unexplained fever, night chills, weakness, myalgia, 
arthralgia, lethargy, or malaise) following dental or other surgical 
procedures in patients who are at risk for developing bacterial endocarditis.
Regimens for Dental, Oral, Respiratory Tract, or Esophageal Procedures
Streptococcus viridans (-hemolytic streptococci) is the most common cause of 
endocarditis following dental or oral procedures, certain upper respiratory 
tract procedures, bronchoscopy with a rigid bronchoscope, surgical procedures 
that involve the respiratory mucosa, and esophageal procedures. Prophylaxis 
should be specifically directed against these organisms. The same regimens are 
recommended for all these procedures (Table 41,22,59-61). The recommended 
standard prophylactic regimen for all these procedures is a single dose of 
oral amoxicillin. The antibiotics amoxicillin, ampicillin, and penicillin V 
are equally effective in vitro against -hemolytic streptococci; however, 
amoxicillin is recommended because it is better absorbed from the 
gastrointestinal tract and provides higher and more sustained serum levels. 
Previously the recommended dose was 3.0 g 1 hour before a procedure and then 
1.5 g 6 hours after the initial dose.1 Recent comparisons of 2.0-g and 3.0-g 
dosing indicate that a 2.0-g dose results in adequate serum levels for several 
hours and causes less gastrointestinal adverse effects.59 The newly 
recommended adult dose is 2.0 g of amoxicillin (pediatric dose is 50 mg/kg not 
to exceed the adult dose) to be administered 1 hour before the anticipated 
procedure. A second dose is not necessary, both because of the prolonged serum 
levels above the minimal inhibitory concentration of most oral streptococci59 
and the prolonged serum inhibitory activity induced by amoxicillin against 
such strains (6 to 14 hours).60 For individuals who are unable to take or 
unable to absorb oral medications, a parenteral agent may be necessary. 
Ampicillin sodium is recommended because parenteral amoxicillin is not 
available in the United States. Individuals who are allergic to penicillins 
(such as amoxicillin, ampicillin, or penicillin) should be treated with the 
provided alternative oral regimens. Clindamycin hydrochloride is one 
recommended alternative. Individuals who can tolerate first-generation 
cephalosporins (cephalexin or cefadroxil) may receive these agents, provided 
they have not had an immediate, local, or systemic IgE-mediated anaphylactic 
allergic reaction to penicillin. Azithromycin or clarithromycin are also 
acceptable alternative agents for the penicillin-allergic individual,61 
although they are more expensive than the other regimens. When parenteral 
administration is needed in an individual who is allergic to penicillin, 
clindamycin phosphate is recommended; cefazolin may be used if the individual 
does not have an immediate type local or systemic anaphylactic 
hypersensitivity to penicillin. The previous recommendations from this 
committee listed erythromycin as an alternate agent for the 
penicillin-allergic patient. Erythromycin is no longer included because of 
gastrointestinal upset and complicated pharmacokinetics of the various 
formulations.62 Practitioners who have successfully used erythromycin for 
prophylaxis in individual patients may choose to continue with this 
antibiotic. The regimen is included in our previous recommendations.1
Regimens for Genitourinary and Nonesophageal Gastrointestinal Procedures
Bacterial endocarditis that occurs following genitourinary and 
gastrointestinal tract surgery or instrumentation is most often caused by 
Enterococcus faecalis (enterococci). Although gram-negative bacillary 
bacteremia may follow these procedures, gram-negative bacilli are only rarely 
responsible for endocarditis. Thus, antibiotic prophylaxis to prevent 
endocarditis that occurs following genitourinary or gastrointestinal 
procedures should be directed primarily against enterococci.
Table 51,22 outlines the recommended regimens for prophylaxis for 
genitourinary or gastrointestinal tract procedures (excluding esophageal 
procedures). The committee continues to recommend parenteral antibiotics, 
particularly in high-risk patients. In medium-risk patients requiring 
prophylaxis, a parenteral (ampicillin) or oral (amoxicillin) regimen is 
provided. For procedures in which prophylaxis is not routinely recommended, 
physicians may choose to administer prophylaxis in high-risk patients.
Specific Situations and Circumstances
Patients Already Receiving Antibiotics
Occasionally, a patient may be taking an antibiotic when coming to the 
physician or dentist. If the patient is taking an antibiotic normally used for 
endocarditis prophylaxis, it is prudent to select a drug from a different 
class rather than to increase the dose of the current antibiotic. In 
particular, antibiotic regimens used to prevent the recurrence of acute 
rheumatic fever are inadequate for the prevention of bacterial endocarditis. 
Individuals who take an oral penicillin for secondary prevention of rheumatic 
fever or for other purposes may have viridans streptococci in their oral 
cavities that are relatively resistant to penicillin, amoxicillin, or 
ampicillin. In such cases, the physician or dentist should select clindamycin, 
azithromycin, or clarithromycin (Table 4) for endocarditis prophylaxis. 
Because of possible cross-resistance with the cephalosporins, this class of 
antibiotics should be avoided. If possible, one could delay the procedure 
until at least 933 to 1434 days after completion of the antibiotic. This will 
allow the usual oral flora to be reestablished.
Procedures Involving Infected Tissues
Incision and drainage or other procedures involving infected tissues may 
result in bacteremia with the same organism causing the infection. In 
individuals at risk for endocarditis (the high- and moderate-risk categories 
in Table 1), it is advisable to administer antimicrobial prophylaxis before 
the procedure. Prophylaxis should be directed at the most likely pathogen 
causing the infection. For nonoral soft tissue infections (cellulitis), or 
bone and joint infections (osteomyelitis and pyogenic arthritis), an 
antistaphylococcal penicillin or first-generation cephalosporin is an 
appropriate choice. For patients who are allergic to penicillins, clindamycin 
is an acceptable alternative. For those unable to take oral antibiotics or who 
are known to have methicillin sodium-resistant Staphylococcus aureus 
bacteremia, vancomycin is the regimen of choice. For UTI, agents active 
against enteric gram-negative bacilli (such as aminoglycosides or 
third-generation cephalosporins) are advisable.
Patients Who Receive Anticoagulants
Intramuscular injections for endocarditis prophylaxis should be avoided in 
patients who receive heparin. The use of warfarin sodium is a relative 
contraindication to intramuscular injections. Intravenous or oral regimens 
should be used whenever possible.
Patients Who Undergo Cardiac Surgery
A careful preoperative dental evaluation is recommended so that required 
dental treatment can be completed before cardiac surgery whenever possible. 
Such measures may decrease the incidence of late postoperative endocarditis.
Patients who have cardiac conditions that predispose them to endocarditis are 
at risk for developing bacterial endocarditis when undergoing open heart 
surgery. Similarly, patients who undergo surgery for placement of prosthetic 
heart valves or prosthetic intravascular or intracardiac materials are also at 
risk for the development of bacterial endocarditis. Because the morbidity and 
mortality of endocarditis in such patients are high, perioperative 
prophylactic antibiotics are recommended. Endocarditis associated with open 
heart surgery is most often caused by S aureus, coagulase-negative 
staphylococci, or diphtheroids. Streptococci, gram-negative bacteria, and 
fungi are less common. No single antibiotic regimen is effective against all 
these organisms. Furthermore, prolonged use of broad-spectrum antibiotics may 
predispose to superinfection with unusual or resistant micro-organisms. 
Prophylaxis at the time of cardiac surgery should be directed primarily 
against staphylococci and should be of short duration. First-generation 
cephalosporins are most often used, but the choice of an antibiotic should be 
influenced by the antibiotic susceptibility patterns at each hospital. For 
example, high prevalence of infection by methicillin-resistant S aureus in a 
particular inpatient unit should prompt consideration of vancomycin for 
perioperative prophylaxis. It should be noted, however, that although the 
majority of nosocomial coagulase-negative staphylococci exhibit the 
methicillin-resistance phenotype in vitro, endocarditis prophylaxis with 
first-generation cephalosporins is effective for most patients undergoing 
cardiac valve surgery.63 Prophylaxis with the chosen antibiotic should be 
started immediately before the operative procedure, repeated during prolonged 
procedures to maintain levels intraoperatively, and continued for no more than 
24 hours postoperatively to minimize emergence of resistant micro-organisms. 
The effects of cardiopulmonary bypass and compromised postoperative renal 
function on antibiotic levels in the serum should be considered and doses 
timed appropriately before and during the procedure.
Status Following Cardiovascular Procedures
Many reparative cardiac procedures do not modify the patient's long-term risk 
for infective endocarditis, which continues indefinitely (Table 1). In the 
case of prosthetic valve replacement, the risk of endocarditis increases 
postoperatively. In other conditions, such as closure of ventricular septal 
defect or patent ductus arteriosus without residual leak, the risk of 
endocarditis diminishes to the level of the general population after a 6-month 
healing period. Data are insufficient to make recommendations for prophylactic 
therapy after closure of these lesions by transcatheter devices. There is no 
evidence that coronary artery bypass graft surgery introduces a risk for 
endocarditis. Therefore, antibiotic prophylaxis is not needed for individuals 
who have previously undergone this procedure. Noncoronary vascular grafts may 
merit antibiotic prophylaxis for the first 6 months after implantation.
There are insufficient data to support recommendations for patients who have 
had heart transplants. However, such patients are at risk of acquired valvular 
dysfunction, especially during episodes of rejection. Because of this, and the 
continuous use of immunosuppression in such patients, most transplant 
physicians administer prophylaxis according to regimens for the moderate-risk 
category
Other Considerations
A case of endocarditis, perceived as result of failure to administer a 
recommended prophylactic regimen, requires careful analysis. It is important 
to consider the following factors: (1) the time period between the putatively 
responsible invasive procedure and the onset of clinical symptoms compatible 
with endocarditis; (2) the etiologic organism causing endocarditis; (3) the 
likelihood that the putative invasive procedure resulted in bacteremia; and 
(4) knowledge by the patient of the presence or severity of the underlying 
lesion and communication of this information to the treating physician or 
dentist prior to the procedure. Most cases of procedure-related endocarditis 
occur with a short incubation period of approximately 2 weeks or less 
following the procedure.64 A longer incubation period between the invasive 
procedure and the onset of symptoms significantly lessens the likelihood that 
the procedure was the proximate cause of the endocarditis. A national registry 
established by the American Heart Association in the early 1980s analyzed 52 
cases of apparent failures of endocarditis prophylaxis.65 Only 6 (12%) of the 
52 cases had received prophylactic regimens that were currently recommended by 
the American Heart Association. The vast majority of endocarditis due to oral 
organisms is not related to dental treatment procedures.24,27 One recent 
large-scale, population-based, case-control study, done in 54 Philadelphia 
area hospitals from 1988 to 1990, was unable to demonstrate any independent 
risk for endocarditis attributable to prior dental treatment.66 In addition, 
it is unlikely that cases of viridans streptococcal endocarditis would 
complicate invasive nonesophageal gastrointestinal or genitourinary 
procedures. Similarly, enterococcal endocarditis would be a very unusual 
consequence of dental procedures.
The use of prophylactic antibiotics to prevent infection of joint prostheses 
during potentially bacteremia-inducing procedures is not within the scope of 
issues addressed by this committee.
Acknowledgment
The authors thank Jeanette Allison for her superb secretarial skills.
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"Prevention of Bacterial Endocarditis" was approved by the American Heart 
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