Prophylactic antibiotics in interventional paediatric cardiac catheterisation: old habits die hard?
Antibiotic prophylaxis in congenital cardiac disease has long been a topic of debate. Although there is little dispute around antibiotic cover for surgical procedures and catheter interventions where foreign material is being inserted, there are little data specific to non-device-placement procedures such as atrial septostomy or balloon valvotomy. We sought to assess the effect of routine prophylaxis on post-interventional infections via a retrospective pseudo-randomised analysis, and an online survey on paediatric interventional cardiologists in the United Kingdom and United States.
1Bristol Congenital Heart Centre,Bristol Royal Hospital for Children,Bristol,United Kingdom.
Christopher D
CD
Gillett
2Department of Paediatric Cardiology,Evelina London Children's Hospital,St Thomas' Hospital,London,United Kingdom.
Gareth J
GJ
Morgan
D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D019072:Antibiotic Prophylaxis / Q000706:statistics & numerical data*; D063126:Balloon Valvuloplasty; D002170:Canada; D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000379:methods; D002648:Child; D002675:Child, Preschool; D004696:Endocarditis / Q000209:etiology / Q000517:prevention & control*; D006306:Health Surveys; D006330:Heart Defects, Congenital / Q000628:therapy; D006801:Humans; D007223:Infant; D010372:Pediatrics; D012189:Retrospective Studies; D006113:United Kingdom; D014481:United States
D000900:Anti-Bacterial Agents
catheterisation