{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T18:08:10Z","timestamp":1791828490839,"version":"4.3.4"},"reference-count":19,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2009,8,14]],"date-time":"2009-08-14T00:00:00Z","timestamp":1250208000000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[2009,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The American Heart Association (AHA) published their revised guidelines in 2007 in which they markedly limited the recommendations for the use of antimicrobial prophylaxis for the prevention of infective endocarditis (IE), except for patients who are at highest risk of adverse outcomes. A recent focused update on valvular heart diseases changed the recommendation for antibiotic use for patients with many underlying heart conditions including mitral valve prolapse (MVP) which were considered as \u201clow risk\u201d heart defects. In this article, we argue that antibiotic prophylaxis should be considered until concrete clinical evidence is provided to dispute against the use of this strategy, especially for patients with MVP. This approach is cost efficient, and provides a chance to prevent a dreadful disease. We have also enlisted 2 clinical cases to support our argument. These are not uncommon clinical scenarios, and emphasize that IE can be fatal in spite of optimum treatment. Patients have the right to make the final decision, and they should be allowed to participate in choosing for or against this approach until adequate clinical evidence is available. Copyright \u00a9 2009 Wiley Periodicals, Inc.<\/jats:p>","DOI":"10.1002\/clc.20583","type":"journal-article","created":{"date-parts":[[2009,8,17]],"date-time":"2009-08-17T16:58:13Z","timestamp":1250528293000},"page":"429-433","source":"Crossref","is-referenced-by-count":9,"title":["Prophylaxis to Prevent Infective Endocarditis: To Use or Not to Use?"],"prefix":"10.1002","volume":"32","author":[{"given":"Abhijeet","family":"Dhoble","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ameeth","family":"Vedre","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sahar S.","family":"Abdelmoneim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srikar Reddy","family":"Sudini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Ghose","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George S.","family":"Abela","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milind","family":"Karve","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2009,8,17]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2008.05.008"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.183095"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1997.03540460058033"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ehj.2003.11.008"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/jac\/dkl121"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39510.423148.AD"},{"key":"e_1_2_1_8_2","first-page":"317","article-title":"Prevention of rheumatic fever and bacterial endocarditis through control of streptococcal infections","volume":"11","author":"Jones TD","year":"1955","journal-title":"Circulation"},{"issue":"6","key":"e_1_2_1_9_2","doi-asserted-by":"crossref","first-page":"1110","DOI":"10.3201\/eid1006.030848","article-title":"Emerging issues in infective endocarditis","volume":"10","author":"Millar BC","year":"2004","journal-title":"Emerg Infect Dis"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2008.07.004"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s002469900477"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003813.pub2"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-0004.2007.00865.x"},{"key":"e_1_2_1_14_2","unstructured":"Epocrates Online Formulary. 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