What is SBE antibiotic prophylaxis?

The rationale of prophylactic antibiotic therapy for subacute bacterial endocarditis are the following: Infective endocarditis is a fatal disease, and prevention is preferable to treatment of established infection. Specific cardiac conditions predispose to infective endocarditis.

What is the most common cause of SBE?

Causes. Subacute bacterial endocarditis (SBE) is usually caused by streptococcal species (especially viridans streptococci), and less often by staphylococci.

What is first line agent in patient with endocarditis?

First-line treatment: Cefepime 2 g IV q8h for normal renal function. Second-line treatment (if patient is penicillin or cephalosporin intolerant): Aztreonam 2 g IV q8h for normal renal function. Antipseudomonal penicillin plus aminoglycoside recommended if Pseudomonas aeruginosa endocarditis is suspected.

Is SBE prophylaxis required for colonoscopy?

Evidence-Based Answer. Routine administration of prophylactic antibiotics to prevent infective endocarditis (IE) from colonoscopy is not recommended.

Who needs antibiotics before dental work?

Today, the AHA only recommends antibiotics before dental procedures for patients with the highest risk of infection, those who have:

  • A prosthetic heart valve or who have had a heart valve repaired with prosthetic material.
  • A history of endocarditis.
  • A heart transplant with abnormal heart valve function.

What heart conditions require antibiotics before dental work?

Is premed needed for heart valve replacement?

Currently, it is recommended that those with an artificial heart valve should premedicate with antibiotics prior to certain dental procedures. You should also premedicate if you have a history of infective endocarditis or have one of a few congenital heart defects.

How is SBE diagnosed?

Your doctor will usually order a blood test and a blood culture. A blood culture can sometimes identify the specific type of bacteria causing your infection. A standard blood test can reveal a low red blood cell count, which is a common symptom of SBE. Other tests include echocardiography.