Antimicrobial prescribing: NHS Fife
Associated with other procedures or alone:
Teicoplanin 10mg/kg IV (max 400mg) single dose
Surgical Prophylaxis
Amoxicillin 30mg/kg IV (max 500mg)
Plus
Gentamicin 2.5 mg/kg IV (use IBW for dosing) single dose
Plus
Metronidazole 7.5 mg/kg IV (max 500mg) single dose
Not recommended in uncomplicated laparoscopic cholecystectomy
Penicillin allergy and/or MRSA colonisation or infection:
Teicoplanin 10 mg/kg IV (max 400 mg) single dose
Plus
Gentamicin 2.5 mg/kg IV (use IBW for dosing) single dose
Plus
Metronidazole 7.5 mg/kg IV (max 500mg) single dose
All Urinary Tract surgery where infection is suspected or confirmed
1st line
Gentamicin 2.5 mg/kg IV (use IBW for dosing) single dose
2nd line
Co-amoxiclav 30 mg/kg IV (max 1.2g) single dose
Thereafter:
Trimethoprim 2 mg/kg oral (max 100mg) once daily until stent and catheter removed
MRSA colonisation or infection:
add Teicoplanin 10 mg/kg IV (max 400 mg) single dose
No prophylaxis required for:
- Ear surgery (clean / clean contaminated)
- Tonsillectomy
- Adenoidectomy
- Routine nose, sinus and endoscopic sinus surgery
- Head and neck surgery (clean, benign)
Grommet insertion
Ciprofloxacin 0.3% eye drops
3 drops into grommeted ear/s single dose
Thyroglossal Cyst surgery
Co-amoxiclav 30 mg/kg IV (max 1.2g) single dose
Penicillin allergy and/or MRSA colonisation or infection:
Teicoplanin 10 mg/kg IV (max 400 mg) single dose
Plus
Gentamicin 2.5 mg/kg IV (use IBW for dosing) single dose
Plus
Metronidazole 7.5 mg/kg IV (max 500mg) single dose