Question

A 58‑year‑old with a prosthetic aortic valve (bioprosthetic) and prior infective endocarditis needs a dental extraction involving gingival manipulation. What should be done?

Accepted Answer

Amoxicillin 2 g PO 30-60 minutes before procedure

Answer

No prophylaxis is indicated

Answer

Clindamycin 600 mg 1 hour before procedure

Answer

Ceftriaxone 1 g IV daily for 3 days after

Answer

Azithromycin 250 mg PO once

Practice question

A 58‑year‑old with a prosthetic aortic valve (bioprosthetic) and prior infective endocarditis needs a dental extraction involving gingival manipulation. What should be done?