Dirty Surgical, Abdominal Wounds

First Line

Therapy

Co-amoxiclav 625mg PO 8 hourly

 

If moderate/severe infection (e.g. systemic signs):

Co-amoxiclav 1.2g IV 8 hourly  +/- Gentamicin IV as per protocol

Penicillin Allergy

Therapy

Co-trimoxazole 960mg PO 12 hourly

 

If moderate/severe infection (e.g. systemic signs) or associated collection/abscess:

Vancomycin IV AND Gentamicin IV as per protocol AND Metronidzole 500mg IV 8 hourly