Breast Surgery
Link to General Principles, including redosing table
Breast surgery without prosthesis
gentamicin 3mg/kg iv OR teicoplanin 800mg iv
Routine post op doses not routinely recommended unless in cases where active infection is present at time of surgery; treat as breast infection.
Breast surgery with prostheses or axillary dissection
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: gentamicin 3mg/kg iv AND teicoplanin 800mg iv
Routine post op doses not routinely recommended unless in cases where active infection is present at time of surgery, treat as breast infection.
Breast surgery - revision and/or infection
Preferred (including for penicillin allergy (non-severe)): cefazolin iv (see dosing table below) AND gentamicin 3mg/kg iv
| 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 |
OR
gentamicin 3mg/kg iv AND teicoplanin 800mg iv
Routine post op doses not routinely recommended unless in cases where active infection is present at time of surgery, treat as breast infection.