Pharmacology · single question
A patient needing extractions has a cardiac stent. What antibiotic prophylaxis should be given?
Show answer and explanation
Correct answer: A. No antibiotic prophylaxis necessary
- A. Correct. Coronary stents are NOT an indication for infective-endocarditis prophylaxis under current AHA/ADA guidelines — no antibiotic premedication is required.
- B. 2 g amoxicillin is the regimen for patients who DO meet prophylaxis criteria (e.g., prosthetic valves), which a stent patient does not.
- C. 1 g is not the standard adult prophylactic dose, and prophylaxis isn't indicated anyway.
- D. Clindamycin 600 mg is the penicillin-allergy alternative, but no prophylaxis is indicated for a stent.