Medical History Mysteries: New AHA guidelines for antibiotic prophylaxis

Sept. 2, 2021
Drs。帕梅拉Maragliano-Muniz和汤姆中提琴讨论what the new AHA guidelines say, what dosages to use for each antibiotic, and what to consider with patients who are already taking antibiotics to treat other issues.

Recently, the American Heart Association issuednew antibiotic prophylaxis protocolsfor infective endocarditis. How does this affect us in dentistry?

It seems that these new guidelines point to a change in our prescribing of antibiotics in general. Amoxicillin has always been the number one drug we would use—as long as the patient wasn’t allergic to penicillin—and clindamycin was the alternative. However, the AHA now indicates that other agents may be better options.

In this episode ofMedical History Mysteries, Dr. Tom Viola and I discuss what the new guidelines say, what to ask our patients, what dosages to use for each antibiotic, and what to consider with patients who are already taking antibiotics to treat other issues.

Link to article from American Heart Association on antibiotic prophylaxis guidelines.


Editor’s note:This article first appeared inThrough the Loupesnewsletter, a publication of the Endeavor Business Media Dental Group.168博金宝 andsubscribe toThrough the Loupes.


Pamela Maragliano-Muniz, DMD,is the chief editor ofDental Economics.Based in Salem, Massachusetts, Dr. Maragliano-Muniz began her clinical career as a dental hygienist. She went on to attend Tufts University School of Dental Medicine, where she earned her doctorate in dental medicine. She then attended the University of California, Los Angeles, School of Dental Medicine, where she became board-certified in prosthodontics. Dr. Maragliano-Muniz owns a private practice, Salem Dental Arts, and lectures on a variety of clinical topics. You may contact her atpmuniz@endeavorb2b.com.


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