A 56-year-old with a mechanical aortic valve is scheduled for dental extraction. No penicillin allergy. What antibiotic prophylaxis is recommended to ...

Question

A 56-year-old with a mechanical aortic valve is scheduled for dental extraction. No penicillin allergy. What antibiotic prophylaxis is recommended to prevent infective endocarditis?

Accepted Answer

Amoxicillin 2 g orally 30-60 minutes before the procedure.

Answer

Clindamycin 600 mg orally 1 hour before.

Answer

No prophylaxis is indicated for dental extraction in this patient.

Answer

Amoxicillin 500 mg after the procedure only.

Answer

Vancomycin 1 g IV 2 hours before the procedure as first choice.

us-abfm MCQ (SBA): Endocarditis Prophylaxis

A 56-year-old with a mechanical aortic valve is scheduled for dental extraction. No penicillin allergy. What antibiotic prophylaxis is recommended to prevent infective endocarditis?