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Details

Surgical Prophylaxis of selected surgeries
Agents of choice and B-Lactam allergy choice
9
Other
Professional
09/15/2012
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Term
Orthopedic Surgery
 Definition
Agents of Choice: Cefazolin* or Cefuroxime

Allergy (alternative):Vancomycin
Term
Neurosurgery
 Definition
Agents of Choice: Cefazolin or Vancomycin

Allergy (alternative): Vancomycin* or TMP/SMX
Term
Cardiac
 Definition
Agents of Choice: Cefazolin* or Cefuroxime

Allergy (alternative): Clindamycin or Vancomycin +/- Gentamicin
Term
Thoracic
 Definition
Cefazolin* or Cefuroxime
Allergy (alternative): Clindamycin OR vancomycin +/- Gentamicin
Term
Hysterectomy
 Definition
Cefotetan or Cefoxitin or Ampicillin/sulbactam

Allergy (alternative): Clindamycin AND Fluoroquinolone or Aztreonam or Aminoglycoside;
Metronidzole only or
Clindamycin only
Term
Cesarean section
 Definition
Cefazolin
Allergy (alternative): Clindamycin AND Fluoroquinolone or Aztreonam or Aminoglycoside
Term
Esophageal; gastroduodenal; biliary tract
 Definition
Cefazolin
Allergy (alternative): Clindamycin AND Fluoroquinolone or Aztreonam or Aminoglycoside
Term
Colorectal; appendectomy
 Definition
Cefotetan or Cefoxitin or Ampicillin/sulbactam or Ertapenem or Cefazoline and metroidazole
Allergy (alternative): Clindamycin AND Fluoroquinolone or Aztreonam or Aminoglycoside
Term
Colorectal only
 Definition
Oral Neomycin and erythromycin given 19, 18, and 9 hours before surgery
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