Adult

Vascular Surgery

Warning

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: 27 Oct 2026

Next review date: 04 Oct 2029

Author(s): AMST.