3rd/4th Degree Tear

Important: Therapy

Co-amoxiclav 1.2g IV

 

If weight >100kg give additional dose of Amoxicillin 1g IV

(i.e. total dose = 2g Amoxicillin and 200mg clavulanic acid)

Notes:

Continue Co-amoxiclav 625mg PO 8 hourly for 5 days post-op

Important: Therapy

Clindamycin 600mg IV AND Gentamicin IV (refer to Drug Dosing Table)

Weight >80kg: increase Clindamycin dose to 900mg IV

Weight >160kg: increase Clindamycin dose to 1200mg IV

Notes:

Continue Clindamycin 600mg PO 8 hourly for 5 days post-op

Important: Therapy

ADD Teicoplanin to above prophylaxis (refer to Drug Dosing Table)

Notes:

Discuss ongoing oral antibiotic post-op with consultant microbiologist

(Teicoplanin will provide 24hr of MRSA cover so doesn't need to be urgent discussion e.g. if OOH)