© Springer International Publishing AG 2017
Linda S. Aglio and Richard D. Urman (eds.)Anesthesiologyhttps://doi.org/10.1007/978-3-319-50141-3_88. Subacute Bacterial Endocarditis Prophylaxis
(1)
Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, 75 Francis St., Boston, MA 02115, USA
Keywords
EndocarditisAntibiotic prophylaxisNICE guidelinesValvular heart diseaseCongenital heart diseaseCase
A 37-year-old woman with a ventricular septal defect (VSD) is scheduled for an upper endoscopy to evaluate for Barrett’s esophagus in the setting of longstanding gastrointestinal reflux disease.
- 1.
Should this patient receive antibiotic prophylaxis against infective endocarditis for the endoscopy? Why or why not?
No—according to the 2008 ACC/AHA guidelines on Infective Endocarditis in Valvular Heart Disease, this patient does not require endocarditis prophylaxis for a routine noninvasive gastrointestinal procedure [1].
- 2.
What are the major causative organisms of subacute bacterial endocarditis?
Viridans Streptococci account for somewhere between 25 and 50% of subacute bacterial endocarditis cases. These organisms are found in normal human oral flora.
Streptococcus bovis is the most common nonviridans streptococcal species to cause subacute infective endocarditis and is found in the lower GI tract, most commonly associated with colonic polyps and cancer.
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