Table 6 The recommendations for antimicrobial prophylaxis [30]
Surgical category | Routine antibiotic prophylaxis | Penicillin or cephalosporin allergy |
|---|---|---|
Cardiac | Cefazolin plus vancomycin (device only) | Vancomycin or Clindamycin plus gentamicin |
Thoracic | Cefazolin | Vancomycin or Clindamycin |
Colorectal | Cefazolin plus metronidazole | Clindamycin plus gentamicin |
Otorlaryngology | Cefazolin alone or plus metronidazole | Clindamycin alone or plus ciprofloxacin |
General surgery | Cefazolin | Clindamycin alone or plus gentamicin |
Hepatobiliary (complicated) | Cefazolin | Vancomycin plus tobramycin |
Neurosurgery | Cefazolin plus vancomycin (device only) | Vancomycin |
Orthopedic | Cefazolin plus vancomycin (artroplasties only) | Vancomycin or Clindamycin |
Obstetric/gynecologic | Cefazolin | Clindamycin |
Vascular | Cefazolin plus vancomycin (syntetic graft only) | Vancomycin |
Plastics, Reconstructive & Hand Surgery | Cefazolin | Clindamycin |
Urology | Cefazolin | Ciprofloxacin alone or plus vancomycin |