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Surgical antibiotic prophylaxis
What to give before surgery
20
Medical
Professional
02/10/2012
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Term
Gastrodudenal
 Definition
Cefazolin 1g x 1 dose
Term
Cholecystecotomy
 Definition
Cefazolin 1g x 1 dose
Term
Urologic
 Definition
Cefazolin 1g x 1 dose
Term
Vaginal hysterectomy
 Definition
Cefazolin 1g x 1 dose
Term
Spinal surgery
 Definition
Cefazolin 1g x 1 dose
Term
Vascular surgery
 Definition
Cefazolin 1g every 8 hours x 24h
Term
CSF shunt
 Definition
Cefazolin 1g every 8 hours x 24h
OR
ceftriaxone 2g x 1 dose
Term
Joint replacement
 Definition
cefazolin 1g every 8 hours x 2 doses
Term
Hip fracture
 Definition
cefazolin 1g every 8 hours x 2 doses
Term
C section
 Definition
Cefazoline 2g 1 dose
Term
Maxillofacial
 Definition
Cefazoline 2g 1 dose
Term
Craniotomy
 Definition
Cefazoline 2g 1 dose
Term
Cardiac surgery
 Definition
Cefazolin 1g every 8 hours x 48 hours
OR
Cefuroxime 1g every 8 hours x 48 hours

If weight over 80kg, use 2g doses
Term
Head and Neck cancer resection
 Definition
Clindamycin and gentamycin
Term
Transjugular intrahepatic
 Definition
Ceftriaxone 1g x 1 dose
Term
Portosystemic shunt
 Definition
Ceftriaxone 1g x 1 dose
Term
Abdominal hysterectomy
 Definition
Cefotetan 1 g x 1 dose
OR
Cefazoline 1g x 1 dose
Term
Appendectomy
 Definition
Cefotetan 1 g x 1 dose
OR
Cefoxitin 1g x 1 dose (but must be redosed during surgery if longer than 4 hours)
Term
Colorectal
 Definition
Neomycin and erthymycin base 1g at 1p.m, 2p.m. and 11p.m. the night before
THEN
Cefotetan 1g x 1 dose
OR
Cefoxitin 1g x 1 dose
Term
Thoracic Surgery
 Definition
Cefuroxime 750mg every 8 hours x 48 hours
OR
Ampicillin sulbactam
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