Risk Factors for Infective Endocarditis
Authors: Brian L. Strom, Judith L. Kinman, Elias Abrutyn
Journal: Annals of Internal Medicine (1999)

Letters20 July 1999Risk Factors for Infective EndocarditisBrian L. Strom, MD, MPH, Judith L. Kinman, MA, and Elias Abrutyn, MDBrian L. Strom, MD, MPHUniversity of Pennsylvania School of Medicine; Philadelphia, PA 19104-6021 (Strom)University of Pennsylvania School of Medicine; Philadelphia, PA 19104-6021 (Kinman)MCP Hahnemann University; Philadelphia, PA 19102-1192 (Abrutyn)Search for more papers by this author, Judith L. Kinman, MAUniversity of Pennsylvania School of Medicine; Philadelphia, PA 19104-6021 (Strom)University of Pennsylvania School of Medicine; Philadelphia, PA 19104-6021 (Kinman)MCP Hahnemann University; Philadelphia, PA 19102-1192 (Abrutyn)Search for more papers by this author, and Elias Abrutyn, MDUniversity of Pennsylvania School of Medicine; Philadelphia, PA 19104-6021 (Strom)University of Pennsylvania School of Medicine; Philadelphia, PA 19104-6021 (Kinman)MCP Hahnemann University; Philadelphia, PA 19102-1192 (Abrutyn)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-131-2-199907200-00019 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:In response to Dr. Jacobson's letter, although 27 participants did receive antibiotic prophylaxis, they constituted only 21% of the 127 participants who had dental treatment in the 3-month period. More important, among those with indications for antibiotics (that is, patients with previously known cardiac valve abnormalities undergoing dental work), only 17 of 29 (59%) case-patients with dental treatment received antibiotic prophylaxis, compared with 3 (50%) of 6 controls (P = 1.0). In fact, the unadjusted odds ratio for the association between dental therapy and infective endocarditis was 0.5 (95% CI, 0.01 to 9.6) among those with antibiotic prophylaxis, compared with ...Reference1. Lacassin F, Hoen B, Leport C, Selton-Suty C, Delahaye F, Goulet V, et al . Procedures associated with infective endocarditis in adults. A case control study. Eur Heart J. 1995;16:1968-74. CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Brian L. Strom, MD, MPH; Judith L. Kinman, MA; Elias Abrutyn, MDAffiliations: University of Pennsylvania School of Medicine; Philadelphia, PA 19104-6021 (Strom)University of Pennsylvania School of Medicine; Philadelphia, PA 19104-6021 (Kinman)MCP Hahnemann University; Philadelphia, PA 19102-1192 (Abrutyn) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoDental and Cardiac Risk Factors for Infective Endocarditis: A Population-Based, Case-Control Study Brian L. Strom , Elias Abrutyn , Jesse A. Berlin , Judith L. Kinman , Roy S. Feldman , Paul D. Stolley , Matthew E. Levison , Oksana M. Korzeniowski , and Donald Kaye Risk Factors for Infective Endocarditis Michael Jacobson Risk Factors for Infective Endocarditis R. Paul Adams Risk Factors for Infective Endocarditis Peter Collignon Metrics 20 July 1999Volume 131, Issue 2Page: 155KeywordsAntibiotic prophylaxisEndocarditisMedical risk factorsMitral valve prolapseOdds ratioPrevention, policy, and public healthProphylaxis ePublished: 15 August 2000 Issue Published: 20 July 1999 Copyright & PermissionsCopyright © 1999 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...