Treatment for endocarditis should not be commenced before discussion with the microbiologist



Routine antibiotic prophylaxis for interventional procedures is not currently recommended as it has not been proven to be effective as a preventative measure to people at risk of infective endocarditis. Any benefits from prophylaxis need to be weighed against the risks of adverse effects for the patient and the development of resistance.

See BNF section 5.1 and NICE guidance for Prophylaxis against infective endocarditis March 2008.

Note: If patients at risk of endocarditis are undergoing a gastro-intestinal or genito-urinary tract procedure at a site where infection is suspected, they should receive appropriate antibiotic therapy that includes cover against organisms that cause endocarditis. Please discuss with microbiologist if required.