Paediatric

Clean neurosurgery (with or without implant)

This includes implant insertion, VP shunt insertion and Spina Bifida repair.

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

No post-op doses required.

Preferred including for 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

Alternative

For penicillin allergy (severe) or MRSA positive

teicoplanin 10mg/kg iv (Max 800mg)

Editorial Information

Last reviewed: 01 Nov 2023

Author(s): AMST.

Approved By: MMTC