Prewencja infekcyjnego zapalenia wsierdzia u chorych po wszczepieniu zastawki serca poddawanych zabiegom laryngologicznym

Every patient after heart valve replacement belongs to the risk group of infective endocarditis (IE). Some of the laryngological procedures are related to the transient bacteriaemia and consequently IE. Patients after heart valve replacement need a proper care before some laryngological procedures. The proper cooperation of cardiologist, cardiac surgeon, and laryngologist can decrease the risk of IE. In the paper the laryngological procedures for which prophylaxis against infective endocarditis is recommended have been identified. The standarts therapy for prophylaxis have been presented. The specificity of prophylaxis in the case of some other laryngological procedures have been shown. The other cardiac conditions predisposing to endocarditis demanding prophylaxis before laryngological procedures have been mentioned. Every patient after heart valve replacement in Silesian Center of Heart Disease in Zabrze obtains Identity Card of the Patient with Artificial Heart Valve. It contains a list of procedures, including laryngological ones, for which prophylaxis against IE is recommended.