title: [Clinical guidelines for the prevention of infective endocarditis].
abstract: This article sets out the recommendations for the prevention of infective endocarditis (IE), contained in the guidelines developed by the American Heart Association (AHA) and the European Society of Cardiology (ESC), from which the recommendations of the Spanish Society of Paediatric Cardiology and Congenital Heart Disease have been agreed. In recent years, there has been a considerable change in the recommendations for the prevention of IE, mainly due to the lack of evidence on the effectiveness of antibiotic prophylaxis in prevention, and the risk of the development of antibiotic resistance. The main change is a reduction of the indications for antibiotic prophylaxis, both in terms of patients and procedures considered at risk. Clinical practice guidelines and recommendations should assist health professionals in making clinical decisions in their daily practice. However, the ultimate judgment regarding the care of a particular patient must be taken by the physician responsible.
authors.affiliation: Área de Pediatría y Neonatología, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, España. Electronic address: fjplescure@fhalcorcon.es.
authors.forename: J
authors.initials: J
authors.lastname: Pérez-Lescure Picarzo
authors.affiliation: Área de Pediatría y Neonatología, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, España.
authors.forename: D
authors.initials: D
authors.lastname: Crespo Marcos
authors.affiliation: Servicio de Pediatría, Hospital Universitario Río Hortega, Valladolid, España.
authors.forename: F
authors.initials: F
authors.lastname: Centeno Malfaz
mesh_terms: D019072:Antibiotic Prophylaxis; D002648:Child; D004697:Endocarditis, Bacterial / Q000517:prevention & control*; D006801:Humans
keywords: Endocarditis infecciosa; Guidelines; Guías clínicas; Infective endocarditis; Profilaxis; Prophylaxis