Aims Audit our practice on prophylaxis of Infective endocarditis in at risk children with Congenital heart disease. Identify areas where we could improve our practice as per the recommendations of National Institute of Clinical Excellence (NICE) on prophylaxis of infective endocarditis in children.

Methods Retrospective review of all cardiac outpatient clinic letters from March 2013. Sampling of clinic letters was done with equal representation from all six medical staff (Consultants and Registrars) doing outpatient clinics. All children with congenital heart disease who were at risk of infective endocarditis were audited as per the NICE standards.

Results Nineteen children were seen in the outpatient clinic in March 2013 who were at risk of Infective endocarditis (NICE guideline). Four of these children (21%) were offered written information about prophylaxis of infective endocarditis. Three out of these four children (75%) were offered all information on prophylaxis of infective endocarditis which included an explanation why antibiotic prophylaxis is no longer routinely recommended, importance of maintaining good oral health and the risks of undergoing invasive procedures, including nonmedical procedures like body piercing and tatooing.

Conclusions Current department practice on prophylaxis of infective endocarditis in children is in line with the recommendations of NICE guidelines in 21% of cases. There is a need for department guideline to change our practice on prophylaxis of infective endocarditis in children in line with the recommendations in NICE guidelines.