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Antimicrobial prophylaxis for endocarditis: emotion or science?
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  • Published on:
    Antimicrobial prophylaxis for endocarditis: emotion or science?

    Dear Editor,

    The debate on the role of antimicrobial prophylaxis to prevent infective endocarditis (IE) has intensified as a consequence of the recently published guidelines from the Working Party of the British Society for Antimicrobial Chemotherapy (BSAC). In the review by Ashrafian and Bogle, reference is made to the dental community’s satisfaction with these new guidelines, highlighting a “victory for scien...

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    Conflict of Interest:
    None declared.
  • Published on:
    Dentistry and endocarditis: beyond antibiotics

    Dear Editor,

    In the report by Ashrafian1 and Bogle, the authors highlight new recommendations by the British Society for Antimicrobial Chemotherapy to limit prophylaxis to high-risk patients with previously documented endocarditis or surgical shunt/valve procedures (1). Although dental prophylaxis have an impact on systemic disease, they do not eliminate bacteremia altogether. Thus, in addition to antibiotic the...

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    Conflict of Interest:
    None declared.
  • Published on:
    Antimicrobial prophylaxis for endocarditis: Emotion or science

    Dear Editor,

    As cardiac surgeons we read and reread the editorial by Ashrafian and Bogle initially with interest and subsequently bemusement looking for a definitive message. The title was clear enough; the editorial was not.

    The conclusion that good practice will be served if “patients are adequately counselled on the benefits of good dental hygiene and a discussion is undertaken and documented on the ri...

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    Conflict of Interest:
    None declared.
  • Published on:
    Antimicobial Prophylaxis for Endocarditis: Emotion or Science?

    Dear Editor,

    The editorial by Ashrafian and Bogle[1] suggests that the authors have little clinical experience in the management of patients with infective endocarditis (IE). The body of cardiologists and cardiac surgeons in Europe, North America and the UK would disagree that the BSAC guidelines are important or “a step in the right direction” and almost certainly the guidelines will be disregarded by the rest o...

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    Conflict of Interest:
    None declared.