Latest Prophylaxis Guidelines....

Posted By Albert Kohnfelder on November 15, 1998 at 01:13:41:







Hello,
  I was operated on by Dr.Cosgrove in 1994 for my aortic valve which had a congenital defect and was further damaged by endocarditis. All went well,
and I am doing GREAT! I thank GOD for Dr. Cosgroves expertise everyday, Everyone at Cleveland Clinic is to be commended for their professional, helpful ways. My wife and I would have been basket cases without you all.
I am now 42 years old and have no limitations in activities and no medications at all. My question involves the use of prophylaxis, I guess what thats what the antibiotic regimen is called, prior to dental or other invasive procedures. I have been using the regimen given me at CCF in 1994, which was then the High Risk regimen of Ampicillin/Gentamicin. I understood then that High risk patients took this regimen for all procedures, that is Dental/Oral/Upper Resp.Tract AND Genitourinary/Gastrointestinal procedures.I've ee recent charts that show this regimen NOW used only for the Genitourinary/Gastro procedures and the standard Amoxicillin used in dental,etc. EVEN in High Risk patients?! What is the correct regimen now? I want to play it safe, but not over use antibiotics. Thanks again and God Bless. A.Kohnfelder