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  • Title: ACOG Committee Opinion No. 421, November 2008: antibiotic prophylaxis for infective endocarditis.
    Author: American College of Obstetricians and Gynecologists Committee on Obstetric Practice.
    Journal: Obstet Gynecol; 2008 Nov; 112(5):1193-4. PubMed ID: 18978128.
    Abstract:
    The recommendations for endocarditis prophylaxis from the American Heart Association have changed for three main reasons: 1) most cases of endocarditis are not attributable to an invasive procedure but rather are the result of randomly occurring bacteremia from routine daily activities; 2) prophylaxis may only prevent a small number of cases of infective endocarditis in women undergoing genitourinary procedures; and 3) the risk of antibiotic associated adverse events exceeds the benefit, if any, from prophylactic antibiotic therapy. The specific changes pertinent to the obstetrician-gynecologist are discussed.
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