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Old 06-23-2012
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Question USMLE World and Endocarditis Prophylaxis

this excerpt is from usmle world


is this correct ?

Quote:
The risk of
infective endocarditis is increased in the long run; therefore, antibiotic prophylaxis is indicated prior to dental
visits and other oropharyngeal surgical procedures.
what i was knowing was only cyanotic congenital heart disease need prophylaxis prior to dental work. and VSD is NOT a cyanotic congenital heart disease.
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Old 06-23-2012
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please re-check when the question was last updated.
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Old 06-23-2012
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Not indicated for VSD unless it was repaired less than 6 months ago.
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Old 06-24-2012
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In this regard, prophylaxis is reasonable for patients with the following conditions (Table 1):

Prosthetic cardiac valve or prosthetic material used for valve repair
Previous IE
Congenital heart disease (CHD)
Unrepaired cyanotic CHD, including palliative shunts and conduits
Completely repaired congenital heart defect with prosthetic material or device, whether placed by surgery or by catheter intervention, during the first six months after the procedure
Repaired CHD with residual defects at the site or adjacent to the site of a prosthetic patch or prosthetic device (which inhibit endothelialization)
Cardiac transplant recipients who develop cardiac valvulopathy

http://www.cps.ca/english/statements...tis.htm#Table1
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Cardiology-, Infectious-Diseases

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