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endocarditis prevention (prophylaxis)
In the past, children with various predisposing conditions for bacterial endocarditis have been warned to take antibiotics to prevent endocarditis. New guidelines have been released regarding which children require prevention (antibiotic prophylaxis):
Children who meet any of these criteria need prophylaxis before any dental work on the gums, the apex of a tooth, or involving surgery on the oral mucosa (lining of the mouth). Children with innocent heart murmurs (healthy but "noisy" hearts) do not need prophylactic antibiotics.
Amoxicillin is currently used for prophylaxis if the child is not penicillin allergic, in a dose of 2 grams by mouth one hour before the procedure.
Last, remember that since most endocarditis originates from the mouth, good oral hygeine is the most important prevention for endocarditis.