Discharge Instructions for Bacterial Endocarditis (Pediatric)

Your child has been diagnosed with bacterial endocarditis. This is an infection of the lining of the heart. Bacteria (germs) got into the bloodstream and entered the heart, where they caused an infection. Germs can enter the bloodstream a number of ways. The most common ways are through dental procedures, cuts, or infections in other parts of the body. Your child’s infection was treated in the hospital with strong antibiotics given through an IV. Below are instructions for care at home.

Home Care

• Seek medical attention for your child RIGHT AWAY if your child has any symptoms of endocarditis (these include fever, sweating, chills, loss of appetite, weight loss, paleness, headache, weakness, or tiredness that does not go away in 2-3 days).

• Make sure your child takes any prescribed antibiotics until they are all gone—even if your child feels better. These antibiotics don’t just treat an infection, they also prevent endocarditis. If your child doesn’t finish all the antibiotics, it may be harder to treat infections in the future.

• Tell your child’s doctor about all infections your child has, even minor ones.

• Limit your child’s activity according to your doctor’s instructions.

• Be sure your child has good dental care:

  • Take your child to the dentist every 6 months or more often. Dental infection can lead to bacterial endocarditis. Make appointments for toothaches and abscesses right away.

  • Teach your child to take good care of the teeth and mouth. Make sure your child brushes his or her teeth after every meal and flosses as directed.

  • Ask your child’s doctor for an antibiotic prescription to use before any medical procedure or dental visit. Any dental procedure, even routine cleaning, can cause bacteria to enter the bloodstream.

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

Follow-Up

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

• IV therapy for this illness may continue for weeks after your child has left the hospital. You need to arrange for this therapy. Ask for help with this before leaving the hospital