Transplant Surgery

Includes:

• Renal transplant
• Enteric conversion of pancreas transplant

Preferred: meropenem 1g iv (including for penicillin allergy non-severe)

For penicillin allergy (severe) or for MRSA positive patients:

teicoplanin 800mg iv + gentamicin 3mg/kg iv  + If bowel is entered add metronidazole 500mg iv

*Antibiotics are continued post-operatively for intestinal and multi-visceral transplants. See guideline (Speciality Medicine - Transplant)

Includes:

• Pancreas transplant
• Kidney-pancreas transplant (simultaneous or staggered)
• Pancreatectomy or exploration of pancreas after transplantation

At induction:

Preferred (including for penicillin allergy non-severe): meropenem 1g iv + Caspofungin 70mg iv. Give second dose of meropenem 500mg iv at 8h post induction

For MRSA positive patients: add teicoplanin 800mg iv single dose

For penicillin allergy (severe):

teicoplanin 800mg iv bd +  ciprofloxacin 400mg iv bd  + metronidazole 500mg iv tds for 24 hours + Caspofungin 70mg iv single dose

Preferred (including for penicillin allergy non-severe): meropenem 1g iv

For MRSA positive patients: add teicoplanin 800mg iv 

For penicillin allergy (severe) or for MRSA positive patients:

teicoplanin 800mg iv + gentamicin 3mg/kg iv

Preferred (including penicillin allergy (severe and non-severe)) or MRSA positive patients: gentamicin 3mg/kg iv

Includes donor. native, transplanted kidney

Link to Urological surgery