A 33-year-old with repaired cyanotic congenital heart disease and a prosthetic aortic valve is scheduled for dental extraction involving gingival mani...

Question

A 33-year-old with repaired cyanotic congenital heart disease and a prosthetic aortic valve is scheduled for dental extraction involving gingival manipulation. What is recommended regarding infective endocarditis prophylaxis?

Accepted Answer

Administer amoxicillin 2 g orally 30-60 minutes before the procedure

Answer

No prophylaxis is ever recommended for dental procedures

Answer

Prophylaxis only if there is active dental infection

Answer

Administer clindamycin 600 mg orally because of penicillin resistance concerns

Answer

Administer vancomycin 1 g IV for all dental procedures

us-abfm MCQ (SBA): Infective Endocarditis Prophylaxis

A 33-year-old with repaired cyanotic congenital heart disease and a prosthetic aortic valve is scheduled for dental extraction involving gingival manipulation. What is recommended regarding infective endocarditis prophylaxis?