NICE upholds guidance on prophylactic antibiotics

NICE upholds guidance on prophylactic antibiotics

The BDA has advised its members that updated guidance says that prophylactic antibiotics for those at risk of infective endocarditis are not necessary prior to interventional dental procedures. This supports its advice that prophylactic antibiotics not necessary before treating patients with infective endocarditis. The advice from the National Institute of Health and Care Excellence (NICE) follows a review of evidence and consultation.

The updated guidance recommends. the findings of the review supporting the status quo established in 2008, when NICE first changed its recommendation on the use of antibiotic prophylaxis.


The BDA responded to the NICE consultation supporting the current position and continues to support and lead work within the dental profession to combat antimicrobial resistance (AMR). Earlier this year the BDA set out a blueprint for action on AMR and is now working with national leaders and international experts to combat the risks. The Association will also be lending its support to European Antibiotic Awareness Day and the World Health Organisation’s World Antibiotic Awareness Week in November.


The evidence review was suggested following a study which found an increase of infective endocarditis above the baseline trend though there was no causal link to the NICE guidance and no reason to implicate dentistry in the change.

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