How does the ADA classify patients who should receive prophylaxis against infective endocarditis?

How does the ADA classify patients who should receive prophylaxis against infective endocarditis?

• A. Only those with a family history
• B. Based on age
• C. Based on cardiovascular risk factors
• D. Based solely on the type of dental procedure

Answer: (C)

The American Dental Association (ADA) recommends that prophylaxis against infective endocarditis (IE) is primarily determined by the presence of specific cardiovascular risk factors. Patients who have certain underlying heart conditions, such as prosthetic heart valves, previous history of IE, congenital heart defects, or cardiac transplant recipients with valve regurgitation, are classified as high-risk. These patients are more susceptible to developing IE when undergoing invasive dental procedures that can introduce bacteria into the bloodstream. The focus on cardiovascular risk factors allows for a targeted approach to prophylaxis, ensuring that those most at risk receive appropriate preventive measures while reducing unnecessary antibiotic use in individuals without these risk factors. This approach reflects current clinical guidelines aimed at effectively preventing infections while considering the risks and benefits of antibiotic administration.

The American Dental Association (ADA) recommends that prophylaxis against infective endocarditis (IE) is primarily determined by the presence of specific cardiovascular risk factors. Patients who have certain underlying heart conditions, such as prosthetic heart valves, previous history of IE, congenital heart defects, or cardiac transplant recipients with valve regurgitation, are classified as high-risk. These patients are more susceptible to developing IE when undergoing invasive dental procedures that can introduce bacteria into the bloodstream.

The focus on cardiovascular risk factors allows for a targeted approach to prophylaxis, ensuring that those most at risk receive appropriate preventive measures while reducing unnecessary antibiotic use in individuals without these risk factors. This approach reflects current clinical guidelines aimed at effectively preventing infections while considering the risks and benefits of antibiotic administration.