SDCEP Antibiotic Prophylaxis Against Infective Endocarditis

Question 1

When was the SDCEP guidance “antibiotic prophylaxis against infective endocarditis” released?

Answer 1

2018

Question 2

what patients are at increased risk of developing infective endocarditis?

Answer 2

• acquired valvular heart disease
• hypertrophic cardiomyopathy
• previous infective endocarditis
• valve replacement

Question 3

What are some examples of invasive dental procedures according to SDCEP guidelines?

Answer 3

• matrix band placement
• placement of sub-gingival rubber dam clamp
• full perio exam
• sub-gingival scaling
• extraction
• incision and drainage of abscess
• surgery involving elevation of flaps
• implant placement

Question 4

What are some examples of non-invasive dental procedures according to SDCEP guidelines?

Answer 4

• LA (infiltrations or blocks)
• BPE screening
• supra-gingival scaling
• supra-gingival restorations
• removal of sutures
• radiographs

Question 5

In patients with no known allergies where antibiotic prophylaxis is required, what is the dose regime?

Answer 5

3g (1 sachet) Amoxicillin 60 minutes before procedure

Question 6

In patients with penicillin allergy where antibiotic prophylaxis is required, what is the dose regime?

Answer 6

600 mg (2 capsules) Clindamycin Capsules 60 minutes before procedure