Prophylaxis recommended for high-risk patients per AHA guidelines. Standard regimen: 2g Amoxicillin 30-60 minutes before procedure (adults) or 50 mg/kg (children).
| Medication | Adult Dosage | Pediatric Dosage | Duration (Days) | Type |
|---|---|---|---|---|
| Amoxicillin | 2g 30-60 minutes before procedure | 50 mg/kg 30-60 minutes before procedure | 7-10 days | First-line |
| Clindamycin | 600 mg 30-60 minutes before procedure (if allergic) | 20 mg/kg 30-60 minutes before procedure (if allergic) | 7-10 days | Alternative |
| Azithromycin | 500 mg 30-60 minutes before procedure (if allergic) | 15 mg/kg 30-60 minutes before procedure (if allergic) | 5 days | Alternative |