Re: Latest Prophylaxis Guidelines....

Posted By Denise on November 15, 1998 at 01:33:58:

In Reply to: 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

Hi,
I have MPV with MR and am going to get the ole choppers cleaned Monday.  I will be taking 2,000 M.G. (4 500 M.G. capsules) of Amoxicillin 1 hour prior to my cleaning.  It used to be that you would take some 1 hour before and a couple more 6 hours later.  They have now changed it to the before only and no after.
As for you, I would contact your cardiologist since you are at a "higher risk".  This is what my cardiologist recommended for me.
Good luck and I'm glad you are feeling GREAT!
Denise