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).