Adult
Gynaecological, Urogynaecological and Gynae-oncology Surgery
Warning
Link to General Principles, including redosing table.
- Routine post op antibiotic doses are not recommended.
- For cases where active infection is present at the time of surgery - treat as per guidelines.
Gynaecological, Urogynaecological and Gynae-oncology Surgery - clean
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
Routine post op doses not routinely recommended unless in cases where active infection is present at time of surgery, treat as per guidance.
Gynaecological, Urogynaecological and Gynae-oncology Surgery - clean contaminated/contaminated
Preferred (including for penicillin allergy (non-severe)): cefazolin iv (see dosing table below) AND metronidazole 500mg 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 |
For penicillin allergy (severe) or MRSA positive patients: gentamicin 3mg/kg iv AND metronidazole 500mg iv
Routine post op doses not routinely recommended unless in cases where active infection is present at time of surgery, treat as per guidance.