Paediatric
Open fracture, at primary wound excision + stabilisation
Link to General Principles of Surgical Prophylaxis including redosing table and renal dosing for cefazolin.
Preferred (including non-severe penicillin allergy)
gentamicin 2.5mg/kg iv (max 480mg)
AND
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)
AND
gentamicin 2.5mg/kg iv (Max 480mg)