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Blue-grey cutaneous discolouration secondary to amiodarone treatment

2005; BMJ; Volume: 92; Issue: 4 Linguagem: Inglês

10.1136/hrt.2005.072694

2053-5864

Savvas Nikolidakis,

Drug-Induced Ocular Toxicity

studies considered that antibiotic prophylaxis was never routinely recommended, while three 6 11 13 suggested that prophylaxis could be considered in individual patients with prosthetic valves or after previous endocarditis.The evidence points overwhelmingly in favour of the European Society of Cardiology guidance which is not to use antibiotic prophylaxis routinely for transoesophageal echocardiography for any indication.It may be reasonable to consider antibiotics in occasional cases-for example, a patient with a replacement heart valve and evidence of poor oral hygiene in whom the study is being performed for an indication other than suspected endocarditis.In these individual cases, practice is governed by clinical common sense rather than evidence.