IE – cyanotic CHD – give amox — RACP Paediatrics MCQ

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EasyCardiologyIE – cyanotic CHD – give amoxRACP Paediatrics

A 12-year-old with unrepaired cyanotic CHD (Eisenmenger) is having dental scaling. Is IE prophylaxis indicated?

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Correct answer: E — Prophylaxis indicated – amoxicillin

Unrepaired cyanotic CHD is high-risk. Oral amoxicillin 50 mg/kg (max 2g) 30-60 minutes before dental procedures involving gingival manipulation.

Reference: Australian Therapeutic Guidelines – 2024