Question 217 · LDEK · Pharmacotherapy in oral surgery

The first-line antibiotic in a 5-year-old child with congenital cyanotic heart disease before a tooth extraction would be:

  1. A. 50 mg/kg b.w. of amoxicillin.
  2. B. 20 mg/kg b.w. of clindamycin.
  3. C. 50 mg/kg b.w. of cephalexin.
  4. D. 50 mg/kg b.w. of cefazolin.
  5. E. 20 mg/kg b.w. of azithromycin.
Hint

Classify the heart defect by endocarditis risk and recall the standard first-line oral prophylactic agent and its paediatric dose.

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