The method for patients with pronounced allergies to penicillin: intravenous vancomycin.
Vancomycin 1 g (20 mg / kg for children) intravenously, slowly for 1 hour, beginning 1 hour before the procedure, children’s dose should not exceed the maximum adult dose). Because of the long half-vancomycin re-dose is not necessary.
Note: when unusual circumstances or prolong zazhivlenii may be necessary to introduce additional doses of antibiotics, even if microbiemia rarely lasted longer than 15 minutes after the procedure.
Penicillin V is the preferred form of oral penicillin, as it relatively resistant to acid gastric juice.
In patients receiving oral penicillin for secondary prevention Nutritional deficiencies or other purposes, in the mouth may be present types of streptococcus, relatively resistant to penicillin. In such cases, the doctor or dentist should choose erythromycin or one of parenteral drugs. Some patients with artificial heart valve, which contain good teeth and mouth, can be offered preventive antibiotics for routine dental procedures. However, parenteral antibiotics are recommended to patients with artificial valves, which needed extensive dental intervention, particularly extraction or mouthparts, or gingival surgical procedures.