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Table 2. Antibiotic prophylaxis for dental procedures

Age


Population >10 years ≥5 to <10 years <5 years Timing of dose before procedure

General amoxicillin 3 g po amoxicillin 1.5 g po amoxicillin 750 mg 1 h
Allergic to penicillin clindamycin 600 mg po clindamycin 300 mg po clindamycin 150 mg po 1 h
Allergic to penicillin and unable to swallow capsules azithromycin 500 mg po azithromycin 300 mg po azithromycin 200 mg po 1 h
Intravenous regimen expedient amoxicillin 1 g iv amoxicillin 500 mg iv amoxicillin 250 mg iv just before the procedure or at induction of anaesthesia
Intravenous regimen expedient and allergic to penicillin clindamycin 300mg iva clindamycin 150 mg iva clindamycin 75 mg iva just before the procedure or at induction of anaesthesia

aGiven over at least 10 min.

Where a course of treatment involves several visits, the antibiotic regimen should alternate between amoxicillin and clindamycin.

Pre-operative mouth rinse with chlorhexidine gluconate 0.2% (10 mL for 1 min).





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