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JAC Advance Access originally published online on December 19, 2003
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Journal of Antimicrobial Chemotherapy (2004) 53, 123-126
© 2004 The British Society for Antimicrobial Chemotherapy

Leading Article

Antibiotic prophylaxis, body piercing and infective endocarditis

Beverley C. Millar and John E. Moore*

Northern Ireland Public Health Laboratory, Department of Bacteriology, Belfast City Hospital, Lisburn Road, Belfast BT9 7AD, Northern Ireland, UK

Infective endocarditis (IE) is associated with a high degree of morbidity and mortality and generally presents in patients with altered and abnormal heart architecture combined with exposure to bacteria through trauma and other potentially high-risk activities, including body piercing. Modern social behaviour has resulted in increased popularity of the practice of body piercing, particularly amongst the adolescent population and there has been a marked rise of cases of IE directly attributable to this practice. In this article we wish to examine the aetiology of such cases reported in the literature, with particular emphasis on causal organism, as well as to discuss the role of antibiotic prophylaxis and awareness in such at-risk patients within the primary care community.

Keywords: endocarditis, body piercing, tattoos, antibiotic prophylaxis, guidelines

* Corresponding author. Tel: +44-28-9026-3554; Fax: +44-28-2589-2887; E-mail: jemoore{at}niphl.dnet.co.uk


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S. Hill
Comment on: Antibiotic prophylaxis, body piercing and infective endocarditis
J. Antimicrob. Chemother., July 1, 2004; 54(1): 278 - 278.
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