Sun10October0740PM 5

A 30-year-old man is scheduled for a knee arthroscopy under general anaesthesia as a day case. He had a ventriculoseptal defect (VSD) repaired as a child.

He is completely asymptomatic and examination is normal. He has no known allergies.

What would be appropriate antibiotic prophylaxis for the procedure?

(Please select 1 option)

A dose of metronidazole IV only as antibiotic prophylaxis against infective endocarditis

A dose of cefuroxine IV and metronidazole IV as antibiotic prophylaxis against infective endocarditis

Either a dose of co-amoxiclav IV or a dose of dose of cefuroxine IV and metronidazole IV as antibiotic prophylaxis against infective endocarditis, but also a second dose after surgery Incorrect answer selected

A dose of co-amoxiclav IV as antibiotic prophylaxis against infective endocarditis

No antibiotic prophylaxis required as the defect is repaired and no evidence of benefit from routine prophylaxis This is the correct answer

Explanation

According to NICE guidance on Prophylaxis against infective endocarditis (CG64), routine infective endocarditis prophylaxis for patients with any cardiac defect (corrected or uncorrected) is no longer recommended as there is no evidence of benefit.

Antibiotic prophylaxis is recommended only for patients at risk of infective endocarditis, such as patients who have had a valve replacement or a previous history of endocarditis.

Answer Statistics

1

1%

2

2%

3

3%

4

95%

Times answered: 280