Sir, I would like to draw the readers' attention to a very interesting article in the May issue of the British Medical Journal.1 The study highlights a three-quarter drop in antibiotic prophylactic prescriptions, while showing no statistical difference in the incidence of infective endocarditis. I would hope this article provides some evidence for the difficult consultations we have all had with a small cohort of patients who are still insistent on having the prophylaxis.
References
Thornhill M H, Dayer M J, Forde J M et al. Impact of the NICE guideline recommending cessation of antibiotic prophylaxis for prevention of infective endocarditis: before and after study. BMJ 2011; 342: 2392.
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Esmail, Z. No statistical difference. Br Dent J 211, 53 (2011). https://doi.org/10.1038/sj.bdj.2011.579
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DOI: https://doi.org/10.1038/sj.bdj.2011.579