Which of the following is the best management option for endocarditis prophylaxis? A. Amoxicillin B. Augmentin C. Cefuroxime D. No antibiotic
Understand the Problem
The question is asking about the best management option for endocarditis prophylaxis in a patient with a history of a bicuspid aortic valve and mechanical aortic valve replacement. The focus is on selecting the appropriate antibiotic or treatment option based on the patient's medical history.
Answer
Amoxicillin
The best management option for endocarditis prophylaxis is Amoxicillin, administered at a dose of 2 grams given orally as a single dose 30-60 minutes before a procedure.
Answer for screen readers
The best management option for endocarditis prophylaxis is Amoxicillin, administered at a dose of 2 grams given orally as a single dose 30-60 minutes before a procedure.
More Information
Amoxicillin is commonly recommended due to its effectiveness against viridans group streptococci, which are often implicated in infective endocarditis following certain procedures.
Tips
A common mistake is choosing an alternative antibiotic for standard prophylaxis when Amoxicillin is highly recommended unless the patient has an allergy.
Sources
- Antibiotic Prophylaxis Prior to Dental Procedures - ada.org
- Endocarditis Prophylaxis, Adults - Medscape Reference - emedicine.medscape.com
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