HENRY S. KAHN, M.D.; CARL W. TYLER JR., M.D.
To the editor: We are concerned about the conclusions drawn by Cobbs in his recent letter linking endocarditis to the use of an intrauterine contraceptive device (Ann Intern Med 78:451, 1973). On the basis of one serious infection he suggests that the IUD should not be used in patients with endocardial damage. But his letter fails to discuss the role of antibiotic prophylaxis. There are widely accepted regimens for dealing with the bacteremia caused by dental, gastrointestinal, and other genitourinary procedures (1, 2). The important question raised by Cobb's report should be whether or not similar prophylactic measures would be
KAHN HS, TYLER CW. IUD and Endocarditis. Ann Intern Med. ;79:134. doi: 10.7326/0003-4819-79-1-134
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Published: Ann Intern Med. 1973;79(1):134.
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