Antibiotic Prophylaxis
Maria Dalamagka Dental patients should not take prophylactic antibiotics simply because they have pacemakers or implanted defibrillators, according to a new statement from the American Heart Association (AHA). Although 2007 guidelines already exclude these patients from the list of those who need prophylactic antibiotics to prevent endocarditis, the AHA wanted to emphasize this point because many physicians are ignoring these guidelines, and because an increasing rate of infections related to the devices has raised concerns, said coauthor Peter Lockhart, DDS. A summary of the dental aspects of the new guidelines is published in the February issue of the Journal of the American Dental Association. The full statement, which offers guidance on managing these infections, was previously published in Circulation. Dr. Lockhart, chair of the Department of Oral Medicine at Carolinas Medical Center in Charlotte, North Carolina, estimates that dentists are unnecessarily prescribing antib...