Test Tables
|
Procedure |
Antibiotic |
Adult Dose |
Pediatric Dose# |
Duration of Administration |
Intra-Op Re-Dose |
|
Colorectal/GYN/OB/GYN-ONC |
Cefazolin AND |
2g, |
30mg/kg |
IVP 5 mins or IVPB 20 min |
3 hrs |
|
Metronidazole |
500mg |
15mg/kg (Max: 500mg) |
IVPB 30 mins |
No re-dose |
|
|
Head & Neck, Dental or Neurosurgery (only applicable when mouth or sinus is entered; if not, use the standard prophylaxis above) |
Ampicillin/ sulbactam |
3g |
75mg/kg |
IVPB 30 mins |
3 hrs |
|
Ortho Shoulder - primary arthroplasty or revisions (ML/NW) |
Ceftriaxone AND |
2g |
N/A |
IVP 5 mins or IVPB 20 min |
No re-dose |
|
Vancomycin |
1g for 50-70 kg 1.5g for 71-100 kg 2g for > 100 kg |
N/A |
IVPB 60 mins IVPB 120 mins |
8 hrs+ |
|
|
MRSA History Within the Past ONE Year (Including Positive MRSA Screen): Give vancomycin IN ADDITION to standard pre-operative antibiotic. |
|||||
|
All cases at HMC |
Vancomycin |
1g (<70kg) 1.5g (>70kg)† |
15mg/kg |
IVPB 60 mins |
8 hrs+† |
|
All cases at ML/NW |
Vancomycin |
1g for 50-70 kg 1.5g for 71-100 kg 2g for > 100 kg |
IVPB 60 mins IVPB 120 mins |
8 hrs+ |
|
# Maximum pediatric dose should not exceed adult dose unless otherwise indicated. †For adult patients over 100kg at HMC, a 500 mg supplemental vancomycin may be considered on a per-case basis at the discretion of the anesthesiologist. +No re-dosing needed if renal insufficiency
HMC Procedures: All pre-operative prophylactic antibiotics (other than vancomycin) will be administered by anesthesiologist during the intra-operative skin prep and automatically DISCONTINUED WITHIN 24 hour unless otherwise specified. If MRSA positive, vancomycin will be initiated by nursing in the ASU/PACU.