Do Not Do Recommendation

 

Antibiotic prophylaxis against infective endocarditis is not recommended routinely[1]:

  • for people undergoing dental procedures
  • for people undergoing non-dental procedures at the following sites[2]:
    • upper and lower gastrointestinal tract
    • genitourinary tract; this includes urological, gynaecological and obstetric procedures, and childbirth
    • upper and lower respiratory tract; this includes ear, nose and throat procedures and bronchoscopy. [2015]

[1] 'Routinely' has been added to this recommendation for consistency with recommendation 1.1.2 from CG64. This addition emphasises NICE's standard advice on healthcare professionals'  responsibilities. Doctors and dentists should offer the most appropriate treatment options, in consultation with the patient and/or their carer or guardian. In doing so, they should take account of the recommendations in this guideline and the values and preferences of patients, and apply their clinical judgement.

[2]The evidence reviews for this guideline covered only procedures at the sites listed in this recommendation. Procedures at other sites are outside the scope of the guideline (see the scope for details).

Do Not Do Recommendation Details

Recommendation:

Antibiotic prophylaxis against infective endocarditis is not recommended routinely[1]:

  • for people undergoing dental procedures
  • for people undergoing non-dental procedures at the following sites[2]:
    • upper and lower gastrointestinal tract
    • genitourinary tract; this includes urological, gynaecological and obstetric procedures, and childbirth
    • upper and lower respiratory tract; this includes ear, nose and throat procedures and bronchoscopy. [2015]

[1] 'Routinely' has been added to this recommendation for consistency with recommendation 1.1.2 from CG64. This addition emphasises NICE's standard advice on healthcare professionals'  responsibilities. Doctors and dentists should offer the most appropriate treatment options, in consultation with the patient and/or their carer or guardian. In doing so, they should take account of the recommendations in this guideline and the values and preferences of patients, and apply their clinical judgement.

[2]The evidence reviews for this guideline covered only procedures at the sites listed in this recommendation. Procedures at other sites are outside the scope of the guideline (see the scope for details).

Interventions:
Antibiotic prophylaxis

Source guidance details

Guidance:
Prophylaxis against infective endocarditis: antimicrobial prophylaxis against infective endocarditis in adults and children undergoing interventional procedures (CG64)
Published date:
December 2016
Paragraph number:
1.1.3
Page number:
5

View all NICE do not do from this Guidance