I am recovering from endocarditis, after 5 weeks on 8 intra venous drips a day as an in-patient, I am now being treated once a day as an outpatient at my local small "nurse led" hospital.
I have had a previous bout of endocarditis in 2012, then in 2015 I had a mitral valve replacement, perhaps as a consequence. I am therefore at high risk of endocarditis.
After my first bout the NICE (NHS) recommendations said that I should have prophylactic antibiotics before any invasive procedures (i.e. likely to draw blood), including any dental work other than a check up or a polish. Then NICE changed their recommendations to minimise overuse of antibiotics.
This summer I had polyps removed from my colon - a very high risk procedure from my point of view.
My cardiologist is giving me a letter to present when I have any future risky procedures, to demand prophylactic antibiotics. I strongly recommend that anyone who is at risk of endocarditis asks for a similar letter.
I know, perhaps better than most, the importance of keeping antibiotics effective, but I can't help thinking that in cases such as mine a prophylactic might be justified,