Affordable Access

Publisher Website

Chemoprophylaxis before transesophageal echocardiography in patients with prosthetic or bioprosthetic cardiac valves

Authors
Journal
The American Journal of Cardiology
0002-9149
Publisher
Elsevier
Publication Date
Volume
72
Issue
1
Identifiers
DOI: 10.1016/0002-9149(93)90234-4

Abstract

Abstract The risk of infective endocarditis after transesophageal echocardiography is not known. Some investigators have found a low rate of bacteremia during or immediately after the procedure, 1–4 but at least 1 current study has suggested an occurrence rate of 17%. 5 There is only 1 case report of a patient who developed infective endocarditis temporally related to transesophageal echocardiography 6. Since the question of whether or not to give chemoprophylaxis before transesophageal echocardiography in patients with mechanical prosthetic or bioprosthetic cardiac valves has not been settled, we prospectively followed patients with prosthetic heart valves who did not receive antibiotic coverage before a transesophageal echocardiography procedure to assess the risk of their developing infective endocarditis.

There are no comments yet on this publication. Be the first to share your thoughts.