Vascular Procedures
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Procedure |
Recommended Antibiotics and comments |
Vascular procedures |
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Perform MRSA screening prior to all planned surgery. high risk if: previous/ current MRSA carriage, hospitalisation or antibiotic therapy in previous 4 weeks, poorly controlled diabetes, tissue loss or recent foot sepsis. |
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Above knee amputation |
Flucloxacillin 2g IV + Metronidazole 500mg IV + Gentamicin IV as per table. Continue Metronidazole 400mg oral every 8 hours for up to 5 days post op. If penicillin allergy or high MRSA risk: Teicoplanin 400mg IV + Metronidazole 500mg IV + Gentamicin IV as per table. Continue Metronidazole 400mg oral every 8 hours for up to 5 days post op. |
Below knee amputation
|
Flucloxacillin 2g IV + Metronidazole 500mg IV If penicillin allergy or high MRSA risk: Teicoplanin 400mg IV + Metronidazole 500mg IV |
Arterial reconstruction / graft / prosthetic |
Flucloxacillin 2g IV + Gentamicin IV as per table If penicillin allergy or high MRSA risk: Teicoplanin 400mg IV + Gentamicin IV as per table |