Prophylaxis against infective endocarditis (CG64)
Fast, easy summary view of NICE guidance on 'prophylaxis against infective endocarditis'
The advice in this NICE guideline covers:
Patients who are at risk of infective endocarditis, specifically:
- adults and children with certain problems affecting the structure of the heart (such as a replacement heart valve or hypertrophic cardiomyopathy)
- adults and children who have previously had infective endocarditis (whether or not they have an underlying cardiac problem)
- people having any of these procedures:
- any dental procedure
- any obstetric or gynaecological procedure, or childbirth
- any procedure on the bladder or urine system
- any procedure on the gullet, stomach or intestines
- any procedure on the airways, including ear, nose and throat procedures and bronchoscopy (a test used to diagnose some lung problems).
It does not specifically look at:
- people at risk of infective endocarditis who do not have heart problems (such as intravenous drug users)
- people having procedures that aren't in the list above
- CG64 Prophylaxis against infective endocarditis: guidance (web format)
- CG64 Prophylaxis against infective endocarditis: appendices
This guidance has been incorporated into the following NICE Pathways, along with other related guidance and products.
Visit the NICE Pathway: prophylaxis against infective endocarditis
This page was last updated: 12 February 2015
- Web format
- Quick reference guide (PDF)
- NICE Guideline (PDF)
- Full Guideline (PDF)
- CG64 Atal endocarditis heintiol - deall canllawiau NICE (fformat MS Word)
Information for the public
Following the publication of new research at the AHA meeting in Chicago on 18 November 2014 showing an increase in the incidence of infective endocarditis in the UK, NICE has launched an immediate review of CG64 on Prophylaxis for Infective Endocarditis.
Next review date: TBC
Implementation tools and resources
- Audit support
- Costing report
- Costing template
- Slide set
- Prophylaxis against infective endocarditis: online education tool
- Prophylaxis against infective endocarditis: question and answer document
See this guidance in practice
The summary of the key recommendations in the guidance written for patients, carers and those with little medical knowledge and may be used in local patient information leaflets.
Quick Reference Guide
The quick reference guide presents recommendations for health professionals
The published NICE clinical guideline, contains the recommendations for health professionals and NHS bodies.
The published full clinical guideline for specialists with background, evidence, recommendations and methods used.