Prophylaxis

Transient bacteraemia is provoked by dental procedures, surgical incision of the skin, instrumentation of the urinary tract, parturition and even seemingly innocent activities such as brushing the teeth or chewing toffee. Experience shows that people with acquired or congenital heart defects are at risk from bacteraemia and may be protected by antimicrobials used prophylactically (although there is no scientific proof of the efficacy of this). The drugs are given as a short course in high dose at the time of

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