You see a 5-year-old patient for a runny nose and allergies. The child also has a residual VSD following partial repair of multiple heart defects. The mother asks if her child will still need prophylaxis antibiotics for an upcoming dental procedure. You see a 5-year-old patient for a runny nose and allergies. The child also has a residual VSD following partial repair of multiple heart defects. The mother asks if her child will still need prophylaxis antibiotics for an upcoming dental procedure. No, this is not needed Yes, this would be advised