The nurse is teaching the parents of a child who had a surgical correction of a congenital heart defect about subacute bacterial endocarditis (SBE). Which recommendation regarding antibiotic administration prior to dental cleanings is the most appropriate
A.
All children with congenital heart defects need SBE prophylaxis.
B.
Chronic SBE prophylaxis is recommended for most similar children.
C.
Risks for SBE are very high but easily prevented with antibiotics.
D.
The provider must weigh the risk-to-benefit ratio for SBE prophylaxis.
ANS: D
In 2007 the American Heart Association made major changes to the guidelines for prophylaxis needed for patients who have known cardiac disease. The provider needs to weigh the risk-to-benefit ratio, as prophylaxis will only prevent a few cases of SBE and the risk of antibiotic resistance is high. When used, SBE prophylaxis is usually a one-time dose. The actual risk of SBE from dental procedures is less than that from toothbrushing.
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