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Prophylactic Antibiotic Regimen Selection for Surgery
Prophylactic Antibiotic Regimen Selection for Surgery
Surgical
Approved Antibiotics
Surgical
Approved Antibiotics
Procedure
Procedure
Hip/Knee
Other Cardiac
If β-lactam allergy: Vancomycin* or Clindamycin* Arthroplasty
If β-lactam allergy: Vancomycin* or Clindamycin* Vascular
Cefotetan, Cefazolin, Cefoxitin, Cefuroxime, or Oral: after effective mechanical bowel preparation, Hysterec-
Administered for 18 hours preoperatively Cefotetan, Cefoxitin, or Ampicillin/Sulbactam Clindamycin + Gentamicin, or Clindamycin + Quinolone, or Clindamycin + Aztreonam OR
Metronidazole with Gentamicin, or Metronidazole
+ Quinolone
*For cardiac, orthopedic, and vascular surgery, if *For cardiac, orthopedic, and vascular surgery, if the Considerations
the patient is allergic to β-lactam antibiotics, Van- Considerations
patient is allergic to β-lactam antibiotics, Vancomy- comycin or Clindamycin are acceptable substitutes. cin or Clindamycin are acceptable substitutes. **Vancomycin is acceptable with a physician **Vancomycin is acceptable with a physician docu- documented justification for its use (see data ele- mented justification for its use (see data element The antibiotic regimens described in this table reflect the combined, published recommendations This material was prepared by FMQAI, the Medicare Quality Improvement Organization for Florida, of the American Society of Health-System Pharmacists, the Medical Letter, the Infectious Diseases under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Society of America, the Sanford Guide to Antimicrobial Therapy 2001, and the Surgical Infection Department of Health and Human Services. The contents presented do not necessarily reflect CMS Society. Valid for October 2006 discharges forward.
Prophylactic Antibiotic Regimen Selection for Surgery
Prophylactic Antibiotic Regimen Selection for Surgery
Surgical
Approved Antibiotics
Surgical
Approved Antibiotics
Procedure
Procedure
Hip/Knee
Other Cardiac
If β-lactam allergy: Vancomycin* or Clindamycin* Arthroplasty
If β-lactam allergy: Vancomycin* or Clindamycin* Vascular
Cefotetan, Cefazolin, Cefoxitin, Cefuroxime, or Oral: after effective mechanical bowel preparation, Hysterec-
Administered for 18 hours preoperatively Cefotetan, Cefoxitin, or Ampicillin/Sulbactam Clindamycin + Gentamicin, or
Clindamycin + Quinolone, or
Clindamycin + Aztreonam
OR
Metronidazole with Gentamicin, or Metronidazole
+ Quinolone
*For cardiac, orthopedic, and vascular surgery, if *For cardiac, orthopedic, and vascular surgery, if the Considerations
the patient is allergic to β-lactam antibiotics, Van- Considerations
patient is allergic to β-lactam antibiotics, Vancomy- comycin or Clindamycin are acceptable substitutes. cin or Clindamycin are acceptable substitutes. **Vancomycin is acceptable with a physician **Vancomycin is acceptable with a physician docu- documented justification for its use (see data ele- mented justification for its use (see data element The antibiotic regimens described in this table reflect the combined, published recommendations This material was prepared by FMQAI, the Medicare Quality Improvement Organization for Florida, of the American Society of Health-System Pharmacists, the Medical Letter, the Infectious Diseases under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Society of America, the Sanford Guide to Antimicrobial Therapy 2001, and the Surgical Infection Department of Health and Human Services. The contents presented do not necessarily reflect CMS Society. Valid for October 2006 discharges forward.

Source: http://www.flpic.com/fl_scip_antibiotic_medication_pocket_cards1.pdf

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