Adult
Gastrointestinal (GI)
Warning
Link to General Principles, including redosing table.
For prescribing use Adult Interventional Radiology powerplan on EPR.
Percutaneous Biliary Drainage or Stenting
This applies for patients with or without suspicion of biliary infection.
Preferred (including for penicillin allergy (non-severe)): cefazolin iv (see dosing table below)
| cefazolin iv dose | |
| Weight under 50kg | 1g |
| Weight 50kg to less than 120kg | 2g |
| Weight 120kg or more | 3g |
| Creatinine Clearance less than 10ml/min or patient receiving Haemodialysis | 1g |
For penicillin allergy (severe) or MRSA positive patients: gentamicin 3mg/kg iv
Cholecystostomy
Preferred (including for penicillin allergy (non-severe)): cefazolin iv (see dosing table below)
| cefazolin iv dose | |
| Weight under 50kg | 1g |
| Weight 50kg to less than 120kg | 2g |
| Weight 120kg or more | 3g |
| Creatinine Clearance less than 10ml/min or patient receiving Haemodialysis | 1g |
For penicillin allergy (severe) or MRSA positive patients: gentamicin 3mg/kg iv
Oesophageal dilation (WITHOUT cirrhosis and ascites)
Antibiotic prophylaxis is not routinely required.
Oesophageal dilation (WITH cirrhosis and ascites)
Radiologically Inserted Gastrostomy (RIG)
Antibiotic prophylaxis is not routinely required.