What are the AHA guidelines for antimicrobial prophylaxis to prevent bacterial endocarditis following urologic procedures?

Updated: Jan 02, 2020
  • Author: John L Brusch, MD, FACP; Chief Editor: Michael Stuart Bronze, MD  more...
  • Print

The American Heart Association recommends antimicrobial prophylaxis to prevent bacterial endocarditis in patients with moderate- to high-risk cardiac conditions. High-risk conditions include the presence of prosthetic valves, the previous occurrence of bacterial endocarditis, complex cyanotic congenital heart diseases, and the presence of surgically constructed systemic pulmonic shunts. Moderate-risk conditions include most other congenital heart diseases, hypertrophic cardiac myopathy, and mitral prolapse with regurgitation.

For patients with moderate- or high-risk cardiac conditions, urologic procedures that warrant prophylaxis include prostate surgery, cystoscopy, and urethral dilatation; prophylaxis is not recommended for inserting a Foley catheter in a patient with uninfected urine.

Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!