Genitourinary
Link to General Principles, including redosing table
For prescribing use Adult Interventional Radiology powerplan on EPR
Nephrostomy and Ureteric Stenting or stent exchange (Native kidney)
Preferred, including for penicillin allergy (non-severe or severe) or MRSA positive:
gentamicin 3mg/kg iv
OR
co-trimoxazole 960mg po (1 hour prior to procedure)
Note: If stent replacement is in the setting of urinary infection – current or recurrent - then prophylaxis may need to be tailored. If already on treatment antimicrobials then ensure doses are given within 1 hour of procedure or add additional dose of an alternative agent e.g. co-trimoxazole 960mg po or gentamicin 3mg/kg iv.
Transplant Nephrostomy and Ureteric Stent
Preferred, including for penicillin allergy (non-severe or severe) or MRSA positive:
gentamicin 3mg/kg iv
Note: If stent replacement is in the setting of urinary infection – current or recurrent, then prophylaxis may need to be tailored. If already on treatment antimicrobials then ensure doses are given within 1 hour of procedure or add additional dose of an alternative agent e.g. gentamicin 3mg/kg iv