Intended for healthcare professionals

Letters Dental procedures, antibiotics, and infective endocarditis

Risk of infective endocarditis after dental procedures is extremely low

BMJ 2017; 359 doi: (Published 16 October 2017) Cite this as: BMJ 2017;359:j4733
  1. Mark Baker, director,
  2. Philip Alderson, consultant clinical adviser
  1. mark.baker{at}

Cahill and colleagues endorse a policy that advocates routinely offering antibiotic prophylaxis to people at high risk of infective endocarditis when they undergo invasive dental procedures.1 They quote their own work to support their view that antibiotic prophylaxis in these patients is very effective but do not acknowledge that their findings were challenged during development of the current NICE guideline.2

They do, however, note that …

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