No clear guidelines: Prosthetic valve indicates increased risk of endocarditis. Even under current, stricter AHA guidelines, you would need SBE prophylaxis before high-risk procedures, like dental cleaning/extractions, tonsillectomy, I&D of abscesses. No clear data about body piercings, so different MDs have different approaches. Discuss with your MD, but clean the area very well & care for the site after. Take care!
Answered 5/25/2014
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