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Dear PatientDental advice for people at increased risk of Infective EndocarditisIn light of a new directive from The British Cardiac Society (Antibiotic Prophylaxis Against Endocarditis August 2018) endorsed by The Wessex Cardiac Forum, and your local Cardiologist, you will require antibiotics prior to having invasive dental treatment. The reason for the antibiotic prescription is to protect you from a potential risk of infection at the time of dental treatment. You are at a small but particular risk because of one or more of the following:-Any form of prosthetic valve including a trans-catheter valve replacementAny valve repair using prosthetic materialPrevious episode of endocarditisCyanotic congenital heart diseaseCongenital heart disease with residual shunt or valve leakThe advice is that if you are due to undergo a high risk dental procedure including work by a dental hygienist, then you should have an antibiotic beforehand. The antibiotic regime recommended is 3gm orally of Amoxicillin or 600mg of Clindamycin (for penicillin-allergic individuals) 30 to 60 minutes before the dental procedure.To obtain antibiotics to take prior to dental work you will need to ask your dentist to prescribe these. It has been agreed by the local dental network that your dentist should prescribe this.Please find attached a card which you should carry to show that you should have antibiotic prophylaxis. Please find attached an additional letter to give to your General Practitioner and also to your dentist. Please also find attached a leaflet written by The Scottish Dental Clinical Effectiveness Programme regarding Endocarditis. If you have any concerns regarding this directive, please speak to your dentist, GP, or your Cardiologist.Yours sincerely ................
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