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Medicine Miscellaneous aa8c6188

Antibiotic prophylaxis is indicated in all the following for prevention of endocarditis EXCEPT

A
Cardiac catheterization
B
Prostatectomy
C
Cystoscopy
D
Dental procedures
High-Yield Explanation
The most common cause of endocarditis for dental, oral, respiratory tract, or esophageal procedures is S viridans (alpha-hemolytic streptococci). Antibiotic regimens for endocarditis prophylaxis are directed toward S viridans, and the recommended standard prophylactic regimen is a single dose of oral amoxicillin Antibiotic prophylaxis is not routinely indicated for cardiac catheterization. Antibiotic prophylaxis should be considered for any immunocompromised patient or for any patient with probable or definite wound contamination during the procedure. Thus, great care should be taken to prevent large hematomas Ref Davidson 23rd edition pg 942

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