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  #1  
Old 08-19-2012
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Default pregnancy endocarditis

can anyone tell me when prophylaxis is required in pregnancy and when not required?
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  #2  
Old 08-20-2012
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Quote:
Originally Posted by sonu.agarwall View Post
can anyone tell me when prophylaxis is required in pregnancy and when not required?
What prophylaxis
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  #3  
Old 08-20-2012
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Tetanus toxoid at second trimester
Vaginal swab for group B streptococci(screening) at third trimester
Influenza vaccination at any trimester(Ofcourse only inactivated intramuscular influenza coz the intranasal one is live attenuated)

this is according to kaplan qbank ,yet to encounter this topic in Uworld .

Please add or correct if i am wrong
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  #4  
Old 08-20-2012
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Also varicella and measles vaccine are contraindicated during pregnancy
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Old 08-20-2012
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thanks i was asking for endocarditis prophylaxis
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  #6  
Old 08-20-2012
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the endocarditis prophylaxis is same as non pregnant

Require antibiotic prohylaxis 30-60 min before the procedures to the patient at high risk -
A prosthetic heart valve
Valve repair with prosthetic material
A prior history of infective endocarditis
Many congenital (from birth) heart abnormalities, such as single ventricle states, transposition of the great arteries, and tetralogy of Fallot, even if the abnormality has been repaired. Patent foramen ovale, the most common congenital heart defect, does not require prophylaxis

Prophylaxis not required
Physiologic, functional, or innocent heart murmurs
Mitral valve prolapse without regurgitation or valvular leaflet thickening
Mild tricuspid regurgitation
Coronary artery disease (including previous coronary artery bypass graft surgery)
Simple atrial septal defect
Atrial septal defect, ventricular septal defect, or patent ductus arteriosus that was successfully closed (either surgically or with a catheter based procedure) more than six months previously
Previous rheumatic fever or Kawasaki disease without valvular dysfunction
People with pacemakers or defibrillators
Dental care recommendations

Procedures that require prophylaxis
Dental, oral, or upper respiratory tract procedures
Genitourinary or gastrointestinal procedures This includes colonoscopy, sigmoidoscopy, cystoscopy, and many other procedures
A pregnant woman who has a high risk of IE does NOT usually need antibiotic prophylaxis before a normal vaginal delivery or cesarean section



Prophylactic drug -penicillin or if patient allergic to penicillin then i dont know need to confirm ??

Source http://www.uptodate.com/contents/ant...ond-the-basics
http://circ.ahajournals.org/content/.../1736.full.pdf
http://www.mayoclinic.com/health/ant...gnancy/AN01145
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  #7  
Old 08-20-2012
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Rh hrt disease in preg requires prophylaxis
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