Surgical Prophylaxis - Gastrointestinal Surgery

 

Small and Large Bowel Surgery, Oesophageal Surgery, Appendicectomy

GENTAMICIN 3mg/kg (maximum dose 300mg)

(dose table for Ideal Body Weight)

If CrCl < 21 maximum dose 180mg

plus

METRONIDAZOLE 500mg

plus

AMOXICILLIN 1g

 

}

 

IV single dose only 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

METRONIDAZOLE 500mg

plus

TEICOPLANIN

Dose:

<50kg: 600mg

50-74kg: 800mg

75-100kg: 1000mg

>100kg: 1200mg

 } IV single dose only at induction

 

PEG insertion

CO-AMOXICLAV 1.2g

}

 

IV single dose only at induction

  

If current / previous MRSA positive

OR

if penicillin allergy (explanatory notes) or, 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 only at induction

Last reviewed: 16/11/16 

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