Medical Emergencies · single question

What prophylaxis is required for a patient with a history of deep vein thrombosis?

  1. Consultation for prophylactic heparin
  2. None — DVT is not an indication for antibiotic prophylaxis
  3. Amoxicillin 2 g one hour before
  4. Clindamycin 600 mg one hour before
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Correct answer: B. None — DVT is not an indication for antibiotic prophylaxis

  • A. The dentist does not initiate anticoagulation; the physician manages any perioperative bridging.
  • B. Correct. DVT carries no endocarditis risk and requires no antibiotic prophylaxis. The relevant dental concern is bleeding risk from the patient's anticoagulant therapy, not infection.
  • C. Antibiotic prophylaxis is reserved for the specific AHA cardiac categories — DVT is not among them.
  • D. Same reasoning — no antibiotic indication exists.

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