ENDOCARDITIS PROPHYLAXIS IN CONGENITAL HEART DISEASE

American Heart Association 2007 Guidelines recommend antibiotic prophylaxis only in specific pts with congenital heart disease, i.e., those who are to undergo a dental procedure associated with bacteremia who have:
  1. Unrepaired cyanotic congenital heart disease (e.g., tetralogy of Fallot)
  2. Repaired congenital heart disease with residual defects adjacent to site of a prosthetic patch or transcatheter device
  3. A history of complete repair of congenital defects with prosthetic material or a transcatheter device within the previous 6 months

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