Surgical Prophylaxis - Breast Surgery

Breast cancer surgery

Antibiotic prophylaxis should be considered

Breast re-shaping procedures

Antibiotic prophylaxis should be considered

 

Implants and reconstruction

GENTAMICIN 3mg/kg (maximum dose 300mg)

(dose table for Ideal Body Weight)

If CrCl < 21 maximum dose 180mg

plus

FLUCLOXACILLIN 1g (NB: for patients >90kg give 2g)

}

 

IV single dose at induction

 

If current / previous MRSA positive:

OR

If penicillin allergy (explanatory notes) use:

 

GENTAMICIN 3mg/kg (maximum dose 300mg)

(dose table for Ideal Body Weight)

If CrCl < 21 maximum dose 180mg

plus

 

TEICOPLANIN
Dose:

<50kg: 600mg

50-74kg: 800mg

75-100kg: 1000mg

>100kg: 1200mg

 }

IV single dose at induction

Last reviewed 20/09/17

For guidance on the administration of intravenous antibiotics click here
(GHNHSFT intranet)