The National Institute of Health and Clinical Excellence has published new guidance for the month of March.
The published guidance includes Clinical Guidelines that cover Antenatal Care, Diabetes in Pregnancy and Prophylaxis against Infective Endocarditis. There are also two technology appraisals that cover Asthma (in adults) - corticosteroids and Sleep apnoea - continuous positive airways pressure.
Perhaps the most controversial recommendation (PDF) made is that antibiotic prophylaxis is no longer recommended for prevention of infective endocarditis in patients undergoing interventional procedures. This has been routine however there is little evidence of efficacy and no clear link between infective endocarditis and procedures. The guidance has prompted a letter (PDF) from the Chief Dental Officer at the Department of Health that supports the recommendations.
Action: Clinicians who diagnose and treat patients with any of the above conditions will find these guidelines are a useful aid to management of these conditions.
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