Question

A 45-year-old with a history of prior infective endocarditis needs dental extraction. Severe immediate penicillin allergy. What is the recommended prophylaxis?

Accepted Answer

Azithromycin 500 mg PO 30-60 min pre-procedure

Answer

No prophylaxis needed

Answer

Amoxicillin 2 g PO 30-60 min pre-procedure

Answer

Clindamycin 600 mg PO 1 h pre-procedure

Answer

Amoxicillin/clavulanate 875/125 mg PO

Practice question

A 45-year-old with a history of prior infective endocarditis needs dental extraction. Severe immediate penicillin allergy. What is the recommended prophylaxis?