Adult
Plastic Surgery
Link to General Principles, including redosing table
Minor skin operations
Preferred: flucloxacillin 500mg po
For penicillin allergy (non-severe, severe) or for MRSA positive patients: doxycycline 200mg po
Plastic surgery - clean surgery no prosthetic material
Preferred: flucloxacillin 2g iv
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 for MRSA positive patients: gentamicin 3mg/kg iv
Plastic surgery - contaminated/ infected or involving mucosal surfaces or with prostheses
Including:
- hypospadias
- cleft palate
- cranio-facial surgery
- ulcerated skin lesions (inc. pressure ulcers)
- tissue expanders and implants
- axillary/ groin dissection
- hand trauma
- breast surgery inc. prostheses
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): gentamicin 3mg/kg iv
For MRSA positive patients: add teicoplanin 800mg iv
Burns, skin grafting
No prophylaxis needed. Treatment courses appropriate when infection present.
Leech Therapy
ciprofloxacin 500mg bd po until leeches off.