Normal vaccination schedules should be followed in children with heart disease. Particular care should be taken to ensure that hospitalizations do not disrupt the vaccination programme. In cases of immune system disorders seen in some heart diseases, vaccines that are deemed unsafe by the doctor should not be administered. These vaccines are indicated to the family by the monitoring doctor. Since high fever seen after vaccination may increase heart failure in children with heart disease, it should be controlled by giving antipyretic drugs.
Diseases such as cold and flu, which are common in winter months, cause more serious problems in children with heart disease. These children should be vaccinated with the flu vaccine after they are six months old. Generally, there is no harm in using medications such as antibiotics and antipyretics. Your doctor will warn you if there are any dangerous medications.
Games and Sports in Children with Heart Disease:
Game is an indispensable element of childhood. Preventing children from playing has a negative impact on their mental development and social life. If families know what types of activities to allow in their children with heart disease, they can avoid wrong actions such as being overly protective. The type of heart disease and the severity of the sport to be performed are important in determining sports activities. Sports activities can only be done with the decision of the doctor monitoring the child. Which of these activities the child can do is determined by the pediatric cardiologist according to the type of heart disease.
Classification of sports according to activity levels:
Light sports: Shooting, bowling, archery,
Medium sports: Golf, table tennis, walking
Heavy sports: Basketball, football, volleyball, cycling, swimming, tennis, wrestling.
GUIDE FOR PREVENTION FROM INFECTIVE ENDOCARDITIS
Result of rheumatism There is a possibility of infective endocarditis in developing heart diseases. Infective endocarditis is the inflammation of the membranes lining the heart or vessels by bacteria that enter the blood. This dangerous disease It is VERY IMPORTANT to follow the recommendations below to protect your child from fever.
1. Since most of the bacteria that enter the blood pass into the blood through the mouth, oral and dental cleaning is very important. For this reason, teeth should be brushed with a soft brush both after meals and after eating sweet things such as candy and ice cream, and tooth decay should be prevented.
2. Tooth decay is an important source of microbes. If there is tooth decay, it should either be filled, or if filling is not possible, it should be removed. Dentist check-ups at regular intervals and treatment of newly started caries should be preferred.
3. There is a risk of developing endocarditis in any surgical intervention such as tooth extraction, dental root canal treatment and filling, adenoid removal, tonsillectomy, hernia surgery, circumcision and ear piercing. To protect against this disease, preventive medication should be used before dental intervention and any type of surgical intervention. For this purpose, it is necessary to use marked antibiotics under the supervision of your dentist or doctor.
4. For this reason, this booklet should be shown to every dentist or doctor consulted for surgical intervention.
To the Relevant Physician or Dentist
Our patient is suffering from any disease that causes "bacteremia" due to heart rheumatism. This type of procedure carries the risk of infective endocarditis. For this reason, depending on the intervention to be performed, the drug prophylaxis marked on the form should be applied in line with our recommendations. Please contact us via the telephone number written on the back of the booklet 'when necessary'.
SITUATIONS WHICH REQUIRE Prophylaxis
Group 1 :
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All dental procedures that cause gum bleeding
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Tonsillectomy and adenoidectomy etc.,
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Abscess opening, circumcision, ear piercing, tattoo, piercing
Group 2:
<All digestive and excretory system interventions (endoscopy and biopsies)
SITUATIONS WHICH DO NOT REQUIRE Prophylaxis
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Spontaneous eruption of milk teeth
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Fall, impact, cut, scrape
PROPHYLAXIS SCHEME
Attempts in Group 1
Less than 30 kg:
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Clindamycin 20 mg/kg (PO) 1 hour before intervention)
Unable to take orally : Clindamycin ampoule from my entrance
30 min. before 20 mg /kg (IV)
More than 30 kg:
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Clindamycin 600 mg (PO) 1 hour before the procedure,
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If he cannot take it orally: Clindamycin ampoule from my entrance
30 min. 600 mg (IV) before
In interventions in Group 2
Less than 30 kg:
Vancomycin 20 mg/kg, 30 minutes after the intervention. to end first
As a 1-hour infusion (IV)
More than 30 kg:
Vancomycin 1 g, 30 minutes after the intervention. As a 1-hour infusion (IV) to end first
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