We have attempted to formulate a rational policy for antibacterial prophylaxis in pediatric patients with rheumatic or congenital valvular heart disease prior to dental procedures. We documented the incidence of bacteremia in pediatric patients following a standardized form of dental manipulation. No demonstrable bacteremia was present in the 32 patients included in this study. We believe, therefore, that present recommendations for such antibiotic prophylaxis need revision.
Speck WT, Hurwitz GA, Keller GB. Transient Bacteremia in Pediatric Patients Following Dental Manipulation. Am J Dis Child. 1971;121(4):286-288. doi:10.1001/archpedi.1971.02100150060004