IE – repaired VSD no prophylaxis — RACP Paediatrics MCQ

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ModerateCardiologyIE – repaired VSD no prophylaxisRACP Paediatrics

A 10-year-old with fully repaired VSD (no residual shunt, 8 years post-repair) needs a dental extraction. Is IE prophylaxis indicated?

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Correct answer: A — Prophylaxis NOT indicated

IE prophylaxis is NOT indicated for fully repaired CHD with no residual defect ≥6 months post-repair. Reserved for highest-risk patients.

Reference: Australian Therapeutic Guidelines – 2024; RCH Melbourne – 2023