Controversies over Infective Endocarditis Prophylaxis and the need for National Guidelines

Selim Ahmed and Liew, Constance Sat Lin and Doreen Sumpat and Alvin Oliver Payus and Lo, Zhen Zhen and Mandrinos Symeon and Kew, Teik Seih and Rajesh Kumar Muniandy and Raman S RM Subramaniam Chettiar (2022) Controversies over Infective Endocarditis Prophylaxis and the need for National Guidelines. Journal of Cardiovascular Disease Research, 13. pp. 364-375. ISSN 0975-3583 (P-ISSN) , 0976-2833 (E-ISSN)

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Abstract

Infective endocarditis (IE) is a relatively rare but invariably fatal disease if left untreated. Over decades, individuals with certain congenital or acquired heart defects were given antibiotic prophylaxis before certain procedures to prevent IE. However, controversies on this regimen have begun to grow since 2002 and in 2007-2008, three major international health organizations, the American Heart Association (AHA), the European Society for Cardiology (ESC), and the National Institute for Health and Clinical Excellence (NICE), UK published have their revised guidelines where AHA and ESC markedly shortened the list of indications for IE prophylaxis and NICE abandoned the concept of IE prophylaxis altogether. This has literally divided not only the medical practitioners around the world but practitioners within countries who used to follow either AHA, ESC or NHS guidelines in absence of their own national guidelines. This chaotic situation has also affected the medical teaching in those countries because of contradictory teaching from teachers having different views and belongingness on this issue. Even follow up review five years after the introduction of revised guidelines has failed to resolve the controversies and it deems un resolvable in near future. In such circumstances, every country needs to have own guideline for uniform medical teaching and practice.

Item Type:	Article
Keyword:	Infective Endocarditis , IE , International health organizations
Subjects:	R Medicine > RC Internal medicine > RC31-1245 Internal medicine > RC581-951 Specialties of internal medicine > RC666-701 Diseases of the circulatory (Cardiovascular) system
Department:	FACULTY > Faculty of Medicine and Health Sciences
Depositing User:	SAFRUDIN BIN DARUN -
Date Deposited:	01 Aug 2022 08:48
Last Modified:	01 Aug 2022 08:48
URI:	https://eprints.ums.edu.my/id/eprint/29159

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