Trauma with contaminated wound/implant insertion (excluding hemiarthroplasty)

Antimicrobial prescribing: NHS Forth Valley
NHS Forth Valley

Prophylaxis

Therapy

Co-amoxiclav 1.2g IV stat

If history of MRSA - add Teicoplanin IV (refer to Drug Dosing Table)

 

 

Notes:

Prophylaxis - Penicillin allergy

Therapy

Cefuroxime 1.5g IV stat

If history of MRSA - add Teicoplanin IV (refer to Drug Dosage Table)

 

If severe penicillin allergy i.e. anaphylaxis:

Teicoplanin IV and Gentamicin IV (refer to Drug Dosage Table)

Notes:

Notes

Refer to Hospital Antimicrobial guidance for management of Open Fracture