By vgreene, 2 February, 2018 If adult unable to take PO: ampicillin 2 g IM/IV x1, ceftriaxone 1 g IM/IV x1; if pen-allergic6 (and unable to take ceftriaxone IM/IV): azithromycin or clarithromycin equivalent dose 500 mg IV x1
By vgreene, 2 February, 2018 If pen-allergic child:6 cephalexin 50 mg/kg PO x1, azithromycin or clarithromycin 15 mg/kg PO x1
By vgreene, 2 February, 2018 If pen-allergic adult:6 cephalexin 2 g PO x1, azithromycin or clarithromycin 500 mg PO x1
By vgreene, 2 February, 2018 For nonseverely immunocompromised1 pts undergoing procedures2 that involve manipulation of gingival tissue or periapical region of teeth, or oral mucosa perforation:
By vgreene, 2 February, 2018 For pts w/ known diabetes4 w/ HbA1c ≥8 or blood glucose ≥200 w/ joint replacement
By vgreene, 2 February, 2018 Abx prophylaxis is rarely appropriate [2]-[3]3 for most (regardless of diabetes status4,5); however,
By vgreene, 2 February, 2018 For procedures that don’t involve manipulation of gingival tissue or periapical region of teeth, or oral mucosa perforation: prophylaxis rarely appropriate [1]-[2]4,7
By vgreene, 2 February, 2018 If child unable to take PO: ampicillin 50 mg/kg IM/IV x1, or ceftriaxone 50 mg/kg IM/IV x1; if pen-allergic6 (and unable to take ceftriaxone IM/IV): azithromycin or clarithromycin equivalent dose to PO
