 Overview
Antibiotic prophylaxis guidelines exist for two groups of patients: those with heart conditions that may predispose them to infective endocarditis, and patients who have total joint replacements, who may be at risk for developing hematogenous infections at the site of the prosthetic.
For complete information on infective endocarditis and the latest recommendations, see
A-Z Topic: Infective Endocarditis. You may also review and download the guidelines:
Guidelines for patients who have total joint replacements have not been changed. In 1997 the ADA and the American Academy of Orthopedic Surgeons developed an Advisory Statement on Antibiotic Prophylaxis for Dental Patients with Total Joint Replacements. The Advisory Statement was reviewed and revised in 2003, consistent with the ADA's practice of periodically reviewing all its guidelines to make sure they take into consideration any new information. The Total Joint Advisory Statement will be reviewed again, although at this time, we don't have a specific date. Until such time that new recommendations might be developed, the ADA and AAOS support the recommendations in the 2003 report, which can be downloaded below.
For more information, see Infective Endocarditis: Frequently Asked Questions.
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