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Patient undergoing dental/oral surgery procedure involving gingival tissue/periapical region manipulation or oral mucosal perforation
Relevant cardiac condition: 1) prosthetic valve/material, 2) previous/relapse/recurrent IE, 3) cardiac txp w/valvulopathy, 4) CHD (unrepaired cyanotic dz, repaired congenital defect w/in 6mo, w/ residual defects at site/adjacent to prosthetic patch/device, or w/ surgical/transcatheter PA valve/conduit) Use antibiotic prophylaxis for pts w/ relevant cardiac conditions,1 per AHA, [insert names of any societies that agree with the above recommendation]. Give single dose 30-60min before procedure. If inadvertently not given pre-procedure, give up to 2h post-procedure. For repeated dental/oral surgery procedures, vary regimen each time or wait 4wk between procedures1
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