Antibiotics_Prophylaxis_March 19

Question 1

What groups do you do ab prophylaxis for?

Answer 1

• Prosthetic heart valve or prosthetic material used for valve repair
• Previous infective endocarditis
• Congenital heart disease involving:
• Unrepaired cyanotic defects (blood not getting oxygenated properly through heart) including palliative shunts and conduits
• Completely repaired defects with prosthetic materials up to 6 months after procedure
• Repaired defect at or adjacent to a site that prevents endothelialisation (covering of prosthetic with endothelial cells)

-Rheumatic heart disease in high risk patients (Indigenous + low socieconomic status non-Indigenous)

Question 2

What antibiotics are used?

Answer 2

• Amoxicillin 2g (50mg/kg child) 1 hr before (oral)

- Clindamycin 600mg (child 15mg/kg) 1 hr before (oral)