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Antibiotic Prophylaxis
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=== Typical doses[https://anesthesia.bidmc.harvard.edu/ADEL/Documents/uro_prophy.pdf §][https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/resources/appendix+16+urological+surgery §][https://www.med.umich.edu/asp/pdf/surgical_prophylaxis/surg-ppx_Guideline.pdf §][https://www.mdanderson.org/content/dam/mdanderson/documents/for-physicians/algorithms/clinical-management/clin-management-surgical-antibiotic-prophylaxis-adult-web-algorithm.pdf §] === * '''TMP/SMX: 800 mg of sulfamethoxazole and 160 mg of trimethorprim PO x 1 dose''' *'''1st generation cephalosporin: cefazolin 2gm IV x 1 dose''' *'''3rd generation cephalosporin: cetriaxone 2g IV x 1 dose''' * '''Clindamycin 600mg IV x 1 dose''' * '''Fluoroquinolone: levofloxacin 500mg PO x 1 dose OR ciprofloxacin 500 mg PO x 1 dose''' * '''Aminoglycoside: gentamicin 2mg/kg IV x 1 dose''' * '''Vancomycin 1mg IV x 1 dose''' * '''Metronidazole 500mg IV x 1 dose''' * '''Intraoperative redosing if required''' ** '''Cefazolin 2gm IV q4h''' ** '''Clindamycin 600mg IV q8h''' ** '''Gentamicin 1mg/kg q8h''' ** '''Metronidazole 500mg IV q6h''' *
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