Page 83

Mended Little HeartGuide

Diagnosis 3 In The Does my child need antibiotics for dental treatment? Some children with certain congenital heart defects need antibiotics, like amoxicillin, one hour before dental treatments or procedures throughout their life to prevent endocarditis. Endocarditis is a condition where bacteria takes up residence in the heart and begins to grow. As the bacteria grows, it damages the heart. The best way to prevent endocarditis is to practice good dental care. People with CHD should see a dentist every six months. Parents should begin familiarizing their child with the dentist at age two. If your child has teeth, brush them twice daily. The practice of providing antibiotics prior to procedures is called antibiotic prophylaxis. It should also be used for dental treatments that take place during the first six months after a surgery or heart catheterization where a device was used. The list of conditions requiring antibiotic prophylaxis is frequently revised, so ask your cardiologist if your child’s condition warrants antibiotics before dental treatments. Should my child with CHD get immunizations? This is another issue that needs to be discussed with your child’s cardiologist and pediatrician. They may decide to wait on certain immunizations or to give immunizations (such as those for RSV and pneumonia) that other kids without CHD do not get. They may also encourage you to give your child an influenza (flu) vaccination every year because children with severe heart defects are at higher risk of death and serious illness from the flu. It is important for parents and caregivers to understand what immunizations are for and why their child needs them. Don’t hesitate to ask your child’s doctors questions until you understand immunizations, and ask for a schedule for your child’s immunizations. If you want to have your child immunized on a different schedule than the one suggested, let doctors know. Often there is flexibility in the schedule. If you are strongly opposed to an immunization, discuss it with your child’s doctor to find out whether there are any alternatives and to understand the true risks if your child does not receive that particular immunization.   1 General Information 2 Prenatal Hospital 4 Living With CHD 5 Forms 83


Mended Little HeartGuide
To see the actual publication please follow the link above