Antibiotic prophylaxis for procedures

From IDWiki

Indications

Prevention of Surgical Site Infections

  • Most operations should get cefazolin
  • Consider adding metronidazole for clean-contaminated or contaminated procedures
  • Duration less than 24 hours

Prevention of UTI

  • Asymptomatic bacteriuria
    • Invasive urological procedures
    • Pregnancy

Prevention of Endocarditis

  • Dental procedures that involve ginvial manipulation or periapical region of teeth or perforation of oral mucosa if high risk
    • Prosthetic heart valves
    • Previous IE
    • Cardiac transplant with valve regurg
    • something else
  • Not recommended for non-dental procedures including scopes