The standard technique.
For adults and children weighing over 27 kg – penicillin V 2 g for 1 hour before the procedure, then 1 g in 6 hours. For children weighing up to 27 kg – 1 g for 1 hour before the procedure, then 500 mg after 6 hours.
Patients who can not take oral antibiotics instead of being introduced to the process 2 million ED aqueous solution of penicillin G (50 thousand ED / kg for children) intravenously or intramuscularly for 30-60 minutes before the procedure and 1 million ED (25 thousand ED / kg for children) at 6 hours after the procedure (children’s dose should not exceed the maximum adult dose).
For patients with prosthetic valves and other high-risk development Endocarditis: parenterally ampicillin or gentamicin.
Ampicillin 1-2 g (50 mg / kg for children) gentamicin 1.5 mg / kg (2 mg / kg for children), both intravenously or intramuscularly for half an hour before the procedure and 1 g oral penitsillia V after 6 hours. Alternatively, parenteral introduction may be repeated once after 8 hours (children’s dose should not exceed the maximum adult dose).
Standard methods for patients with allergy to penicillin: oral erythromycin.
Erythromycin 1 g (20 mg / kg for children) for 1 hour before the procedure, then 500 mg (10 mg / kg for children) at 6 pm (children’s dose should not exceed the maximum adult dose). For patients who are not carrying oral erythromycin, it is possible replacement of various drugs erythromycin. For those who do not migrate or penicillin, erythromycin wee, can be useful oral tsefalosporin (1 g for 1 hour before the procedure, 500 mg in 6 hours), but the specific recommendations of this method of data is not enough. Tetracycline is not recommended.