Paediatric
Spinal Surgery
Link to General Principles of Surgical Prophylaxis including redosing table and renal dosing for cefazolin.
Preferred
cefazolin iv see dosing table below
| Weight | cefazolin iv dose |
| Weight less than 120kg | 30mg/kg (maximum 2g) |
| Weight 120kg or more | 3g |
For post-op doses: Two doses of co-amoxiclav 30mg/kg (max 1.2g) iv every 8 hours (every 12 hours for patients 1-2 months old) may be given post-op for prophylaxis at clinician discretion.
Alternative
For penicillin allergy (non-severe)
cefazolin iv see dosing table below
| Weight | cefazolin iv dose |
| Weight less than 120kg | 30mg/kg (maximum 2g) |
| Weight 120kg or more | 3g |
No post-op doses should be given.
For penicillin allergy (severe) or MRSA positive
teicoplanin 10mg/kg iv (Max 800mg)
AND
gentamicin 2.5mg/kg iv (Max 480mg)
No post-op doses should be given.