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Infective Endocarditis Prophylaxis — Medical Practice MCQ

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ModerateInfectious DiseasesInfective Endocarditis Prophylaxis

A 48-year-old with suspected IE but negative initial workup asks about prophylaxis for body piercings. He has a history of repaired congenital heart disease without residual defects. Recommendation?

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Correct answer: E — No routine prophylaxis indicated for piercings

AHA 2021 limits prophylaxis to certain dental procedures in high-risk cardiac conditions. Routine prophylaxis for piercings/tattoos is not recommended absent high-risk features.

Reference: AHA Scientific Statement (2021): Prevention of Viridans Group Streptococcal IE