Prophylaxis for Bacterial Endocarditis with Surgical Non-Dental Procedures

Organ

Operation Planned

Risk Group

Respiratory

tonsillectomy and/or adenoidectomy

3

surgical operations that involve respiratory mucosa

3

bronchoscopy with a rigid bronchoscope

3

bronchoscopy with flexible bronchoscope, with/without biopsy

1

endotracheal intubation

0

tympanoplasty tube insertion

0

Gastrointestinal

sclerotherapy for esophageal varices

2

esophageal stricture dilation

2

endoscopic retrograde cholangiography with biliary obstruction

2

biliary tract surgery

2

surgical operations that involve the intestinal mucosa

2

transesophageal echocardiography

1

endoscopy with or without biopsy

1

Genitourinary

prostatic surgery

3

cystoscopy

3

urethral dilation

3

urethral catheterization if uninfected

0

circumcision

0

vaginal hysterectomy

1

vaginal delivery

1

Cesarean section

0

uterine dilatation and curettage

0

therapeutic abortion

0

sterilization procedures

0

insertion or removal of intrauterine devices

0

Cardiac

cardiac catheterization, including balloon angioplasty and coronary stents

0

implanted cardiac pacemakers or defibrillators

0

Miscellaneous

incision or biopsy of surgically scrubbed skin

0

Risk Group

Recommendations

3

prophylaxis recommended for moderate and high risk cardiac conditions

2

prophylaxis recommended for high risk cardiac conditions; prophylaxis optional for moderate risk conditions

1

prophylaxis optional in high risk conditions

0

prophylaxis not recommended