Paediatric

Head + Neck surgery (+ / - oral lesions)

Link to General Principles of Surgical Prophylaxis including redosing table and renal dosing for cefazolin. 

No post op dose needed

Preferred (including non-severe penicillin allergy)

cefazolin iv see dosing table below

Weight cefazolin iv dose
Weight less than 120kg 30mg/kg (maximum 2g)
Weight 120kg or more 3g

 

If oral lesions, add metronidazole 30mg/kg iv (Max 500mg)

Alternative

For penicillin allergy (severe) or MRSA positive

teicoplanin 10mg/kg iv single dose (Max 800mg)

If oral lesions, add metronidazole 30mg/kg iv (Max 500mg)

Editorial Information

Last reviewed: 01 Nov 2023

Author(s): AMST.

Approved By: MMTC