Question

A 66-year-old man with a prosthetic aortic valve (bioprosthetic) presents for dental extraction. No prior endocarditis. Which statement is correct regarding antibiotic prophylaxis?

Accepted Answer

Give amoxicillin 2 g PO 30-60 min before procedure

Answer

Prophylaxis is not recommended for dental procedures

Answer

Clindamycin 600 mg PO is the preferred alternative

Answer

Give vancomycin 1 g IV for all prosthetic valves

Answer

Prophylaxis only if active gingivitis

Practice question

A 66-year-old man with a prosthetic aortic valve (bioprosthetic) presents for dental extraction. No prior endocarditis. Which statement is correct regarding antibiotic prophylaxis?