Head and Neck Procedures
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Procedure |
Recommended Antibiotics and comments |
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Head and neck procedures |
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Head and neck (contaminated / clean-contaminated with skin incision)
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Amoxicillin 1g IV + Metronidazole 500mg IV + Gentamicin as per General Principles and gentamicin dosing table If penicillin allergy: Teicoplanin 400mg IV + Metronidazole 500mg IV + Gentamicin as per General Principles and gentamicin dosing table |
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Head and neck (contaminated / clean-contaminated with oral cavity incision only) |
Benzylpenicillin 1.2g IV + Metronidazole 500mg IV If penicillin allergy: Teicoplanin 400mg IV + Metronidazole 500mg IV |
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Head and neck surgery (clean, benign) |
Not recommended
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Open reduction and internal fixation of compound mandibular fractures Intraoral bone grafting |
Benzylpenicillin 1.2g IV + Metronidazole 500mg IV + Gentamicin as per General Principles and gentamicin dosing table If penicillin allergy: Teicoplanin 400mg IV + Metronidazole 500mg IV + Gentamicin as per General Principles and gentamicin dosing table |
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Facial plastic surgery with implant
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Amoxicillin 1g IV + Metronidazole 500mg IV + Gentamicin as per General Principles and gentamicin dosing table If penicillin allergy: Teicoplanin 400mg IV + Metronidazole 500mg IV + Gentamicin as per General Principles and gentamicin dosing table |
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Facial surgery (clean) |
Not recommended |
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Complex septorhinoplasty (including grafts) Cleft lip and palate (major) |
Co-amoxiclav 1.2g IV If penicillin allergy: Clarithromycin 500mg IV + Metronidazole 500mg IV |
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Orthognathic surgery |
Cefuroxime 1.5g IV + Metronidazole 500mg IV |
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Cochlear implant |
Cefuroxime 1.5g IV |
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Grommet insertion Stapedectomy |
Sofradex ear drops topically |
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Ear surgery (clean / clean-contaminated) Routine nose, sinus and endoscopic sinus surgery Tonsillectomy Adenoidectomy (by curettage)
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Not recommended |