title: ACOG Committee Opinion No. 421, November 2008: antibiotic prophylaxis for infective endocarditis.
abstract: The recommendations for endocarditis prophylaxis from the American Heart Association have changed for three main reasons: 1) most cases of endocarditis are not attributable to an invasive procedure but rather are the result of randomly occurring bacteremia from routine daily activities; 2) prophylaxis may only prevent a small number of cases of infective endocarditis in women undergoing genitourinary procedures; and 3) the risk of antibiotic associated adverse events exceeds the benefit, if any, from prophylactic antibiotic therapy. The specific changes pertinent to the obstetrician-gynecologist are discussed.
mesh_terms: D000572:American Heart Association; D019072:Antibiotic Prophylaxis / Q000592:standards*; D002585:Cesarean Section / Q000009:adverse effects / Q000592:standards*; D003729:Dental Care / Q000592:standards; D004696:Endocarditis / Q000517:prevention & control*; D005260:Female; D006801:Humans; D013513:Obstetric Surgical Procedures / Q000009:adverse effects / Q000592:standards*; D014481:United States