National Dental Assisting Examining Board (NDAEB) Practice Exam

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What is the recommended alternative antibiotic for patients allergic to penicillin, according to the ADA?

  1. Amoxicillin

  2. Ciprofloxacin

  3. Clindamycin

  4. Erythromycin

The correct answer is: Clindamycin

Clindamycin is recommended as an alternative antibiotic for patients who are allergic to penicillin. This is primarily due to its effectiveness against a wide range of bacteria, particularly those causing dental infections such as anaerobic bacteria. Clindamycin is advantageous in that it can penetrate well into bone and soft tissues, which is critical for treating infections associated with dental procedures. Additionally, it is important to recognize that clindamycin has a different mechanism of action compared to penicillin, making it a suitable option for individuals who cannot tolerate penicillin and its derivatives. This ensures patients receive appropriate care for their infections without risking allergic reactions that could arise from using penicillin-based drugs. The American Dental Association (ADA) supports this approach as it maintains the effectiveness of bacterial infection treatment while safeguarding patient health. While other medications listed, like erythromycin and ciprofloxacin, may also be used in different contexts, clindamycin is specifically highlighted for its suitability in dental infections for patients with penicillin allergies.