What is the antibiotic of choice for prophylaxis against infective endocarditis?
The recommended prophylactic antibiotic is amoxicillin 2 grams orally 1 hour before the procedure. If the patient needs intravenous (IV) medication, ampicillin or ceftriaxone may be used. Cephalexin or azithromycin may be used in patients with a penicillin allergy.
Do you need to premed for artificial heart valve?
Currently, it is recommended that those with an artificial heart valve should premedicate with antibiotics prior to certain dental procedures. You should also premedicate if you have a history of infective endocarditis or have one of a few congenital heart defects.
In which of the following conditions there is no need for antibiotic prophylaxis according to the American Heart Association?
The AHA no longer recommends antibiotic prophylaxis based on an increased lifetime risk of infective endocarditis.
Does dental cleaning require IE prophylaxis?
Infective endocarditis prophylaxis for dental procedures should be recommended only for patients with underlying cardiac conditions associated with the highest risk of adverse outcome from infective endocarditis (see “Patient Selection,” in the main text).
Who needs prophylaxis?
Who Might Benefit from Antibiotic Prophylaxis?
- Unrepaired cyanotic congenital heart disease, including people with palliative shunts and conduit.
- Defects repaired with a prosthetic material or device—whether placed by surgery or catheter intervention—during the first six months after repair.
Does bicuspid aortic valve need antibiotic prophylaxis?
Patients with bicuspid aortic valve are at increased risk for infective endocarditis. Prophylactic antibiotics are no longer required for dental or surgical procedures as recommended by the American Heart Association but are recommended to prevent recurrence if an episode of endocarditis has occurred.
When is antibiotic prophylaxis recommended?
The AHA’s 2021 scientific update reinforced that antibiotic prophylaxis is only indicated for patients at the highest risk of infective endocarditis, citing that risks of adverse effects and development of drug-resistance likely outweighs benefits of prophylaxis in many patients that were historically included in …