Surgical antibiotic prophylaxis

From eTG Feb 2025

• General abdominal surgery: cefazolin 2g
• GIT surgery: cefazolin 2g + metronidazole 500mg
• Hernia repair: cefazolin 2g
  • Also vancomycin 15mg/kg if colonised MRSA
• Breast: cefazolin 2g
  • Also vancomycin 15mg/kg if colonised MRSA
• ERCP gentamicin
• High-risk penicillin/cephalosporin allergy: gentamicin 2mg/kg + metronidazole 500mg
• Repeat cefazolin after 4 hours