STUDY

15

3
Valvular regurgitation - (anticoagulant)
Mechanical prosthetic valve - antibiotic

Mechanical prosthetic valve High risk Infective endocarditis ( 2015 ADA clinical
practice guideline ) Antibiotic Anticoagulant 5 7
Removed wisdom tooth
1.Amoxicillin 2. 1. Erythromycin 3.Clindamycin
Transient bacteremia 4 1 300 .
- Antibiotic 2 6
Ethylsuccinate 800 .
Stearate 1 2 150 . 6 .
Infective endocarditis
Anticoagulant ( )
Warfarin 5 7
7 10 ( ASA )
Physical examination Summary
- metallic closing sound 1 : .
- midsternal
PT PTT INR
Investigation
- CBC : Platelet (male : 4.32 5.72 , female 3.90 5.3 ) Warfarin ( 5 ) +
- PT (11 14 second) () 6 : .
- PTT coagulant ( 25 30 second) ()
- INR (0.8 1.2 second) () PT PTT INR

Antibiotic
- Dental hygiene
- 1

: Warfarin

- Warfarin
- Dental hygiene
References : https://www.uptodate.com/contents/antibiotics-before-procedures-beyond-the-basics
http://dentistry.go.th/tec_detail.php?techno_id=36 Created by Group 8 Cardiovascular system