Adult

Vascular Surgery

Link to General Principles, including redosing table

Vascular Surgery

Includes aortic, carotid and groin surgery, with or without vascular graft placement

Preferred (including for penicillin allergy (non-severe)): cefazolin iv (see dosing table below) + 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

For penicillin allergy (severe) or for MRSA positive patients: teicoplanin 800mg iv + gentamicin 3mg/kg iv

Angiogram, angioplasty, sclerotherapy

No antibiotics required

Varicose Vein Surgery

Only indicated when infection, or ulceration present.

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 for MRSA positive patients: gentamicin 3mg/kg iv

Editorial Information

Last reviewed: 02 May 2022