Estenose tricúspide

A prevenção primária da estenose tricúspide reumática inclui antibioticoterapia imediata e completa dos pacientes sintomáticos com suspeita de faringite por estreptococo do grupo A (GAS).[6]WHO guideline on the prevention and diagnosis of rheumatic fever and rheumatic heart disease [Internet]. Geneva: World Health Organization; 2024. https://www.ncbi.nlm.nih.gov/books/NBK609707 http://www.ncbi.nlm.nih.gov/pubmed/39631006?tool=bestpractice.com ​​[25]Dajani A, Taubert K, Ferrieri P, et al. Treatment of acute streptococcal pharyngitis and prevention of rheumatic fever: a statement for health professionals. Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular Disease in the Young, the American Heart Association. Pediatrics. 1995 Oct;96(4 Pt 1):758-64. http://www.ncbi.nlm.nih.gov/pubmed/7567345?tool=bestpractice.com [26]Shulman ST, Bisno AL, Clegg HW, et al; Infectious Diseases Society of America. Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America. Clin Infect Dis. 2012 Nov 15;55(10):e86-102. https://academic.oup.com/cid/article/55/10/e86/321183 http://www.ncbi.nlm.nih.gov/pubmed/22965026?tool=bestpractice.com ​​ Da mesma forma, nos pacientes com história documentada de febre reumática aguda, deve-se instituir prevenção secundária ou profilaxia com antibioticoterapia de longa duração de acordo com as diretrizes e recomendações existentes.[6]WHO guideline on the prevention and diagnosis of rheumatic fever and rheumatic heart disease [Internet]. Geneva: World Health Organization; 2024. https://www.ncbi.nlm.nih.gov/books/NBK609707 http://www.ncbi.nlm.nih.gov/pubmed/39631006?tool=bestpractice.com ​[25]Dajani A, Taubert K, Ferrieri P, et al. Treatment of acute streptococcal pharyngitis and prevention of rheumatic fever: a statement for health professionals. Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular Disease in the Young, the American Heart Association. Pediatrics. 1995 Oct;96(4 Pt 1):758-64. http://www.ncbi.nlm.nih.gov/pubmed/7567345?tool=bestpractice.com

Recomenda-se a profilaxia de endocardite para todos os pacientes com valvas protéticas cardíacas submetidos a procedimentos dentários que envolvam a manipulação de tecido gengival ou da região periapical dos dentes ou perfuração da mucosa oral.[2]Delgado V, Ajmone Marsan N, de Waha S, et al. 2023 ESC guidelines for the management of endocarditis. Eur Heart J. 2023 Oct 14;44(39):3948-4042. https://www.doi.org/10.1093/eurheartj/ehad193 http://www.ncbi.nlm.nih.gov/pubmed/37622656?tool=bestpractice.com