Gastroenterology MCQ 178

A 65-year-old woman arrives for a scheduled endoscopy for new-onset dysphagia. She reports that she is generally healthy but has bilateral artificial hip prostheses. One of these developed a peri-graft infection 3 years previously and required several months of home intravenous antibiotic therapy. She is quite concerned about the risk of infection to the prosthesis. She is allergic to penicillin. Which of the following is correct?


A. She should receive 600 mg of clindamycin PO 1 hour before the procedure

B. She should receive 1 gm of vancomycin IV (over 1-2 hours) before the procedure and 1.5 mg/kg of gentamycin within 30 minutes of starting the procedure

C. She should receive 500 mg of azithromycin PO 1 hour before the procedure

D. She should receive antibiotic prophylaxis only if esophageal dilation required

E. She should receive no antibiotic prophylaxis

Answer

Category: Gastroenterology MCQs