Discharge Instructions for Bacterial Endocarditis

You have been diagnosed with bacterial endocarditis, an infection of the lining of the heart and/or of the heart valves. This happens when bacteria (germs) enter the bloodstream and lodge inside the heart. There, they cause infection. These germs can enter your bloodstream in a number of ways. The most common ways are through dental procedures, cuts, or infections elsewhere in the body. Your infection was treated in the hospital with strong antibiotics given through an IV. Here’s what you need to do at home.

Home Care

• Don’t drive until you know how this illness has affected you.

• Make an appointment to see your doctor immediately if you start to get the same symptoms again that caused you to go to the hospital. These symptoms include fever, sweating, chills, loss of appetite, weight loss, paleness, headache, weakness, or tiredness that does not go away in 2-3 days.

• Take good care of your teeth and mouth. Brush your teeth after meals. Floss as directed.

• Visit your dentist at least every 6 months. Dental infection is associated with bacterial endocarditis. Make immediate appointments if you have toothaches or abscesses.

• Ask your doctor for an antibiotic prescription to use before any invasive procedure or dental visit.

• Notify your doctor of all infections, even minor ones.

• Take your antibiotics until they are all gone—even if you feel better. These antibiotics prevent infection from returning to your heart lining, in addition to treating the existing infection.

• Take good care of yourself. Ask your doctor to explain the elements of a healthy lifestyle, including exercise and a healthy diet.

Follow-Up

• Make a follow-up appointment as directed by our staff.

• Remember, IV therapy for this illness may continue for weeks outside the hospital. It is important for you to arrange for this therapy. Ask for help with this before leaving the hospital.