Gastro-intestinal procedures, antibacterial prophylaxis Flashcards
Gastro-intestinal Procedures: Antibacterial Prophylaxis
Q: What are the options for antibacterial prophylaxis in operations on the stomach or esophagus?
A: Single dose of intravenous gentamicin, cefuroxime, or co-amoxiclav. Additional doses may be given for prolonged procedures or major blood loss.
Q: When should intravenous antibacterial prophylaxis be administered for these procedures?
A: Up to 30 minutes before the procedure.
Q: When should i/v teicoplanin (or vancomycin) be added to the prophylaxis regimen?
A: When there is a high risk of meticillin-resistant Staphylococcus aureus.
Q: What is the recommended prophylaxis for open biliary surgery?
A: Single dose of i/v cefuroxime + i/v metronidazole or i/v gentamicin + i/v metronidazole or i/v co-amoxiclav. Additional doses may be given for prolonged procedures or major blood loss.
Q: When is the administration of i/v metronidazole suggested, and how should it be given?
A: It may be given by suppository, but it should be given 2 hours before surgery for adequate absorption.
Q: What is the additional measure when there is a high risk of meticillin-resistant Staphylococcus aureus in biliary surgery?
A: Add i/v teicoplanin (or vancomycin).
Q: What is the recommended prophylaxis for resections of the colon and rectum for carcinoma, and resections in inflammatory bowel disease, and appendicectomy?
A: Single dose of i/v** gentamicin **+ i/v metronidazole, i/v cefuroxime + i/v metronidazole, or i/v co-amoxiclav.
Q: When should intravenous antibacterial prophylaxis be administered for these procedures?
A: Up to 30 minutes before the procedure.
Q: What is the suggested administration of i/v metronidazole, and when should it be given?
A: It may be given by suppository, 2 hours before surgery for adequate absorption.
Q: When should i/v teicoplanin (or vancomycin) be added to the prophylaxis regimen for these procedures?
A: When there is a high risk of meticillin-resistant Staphylococcus aureus.
Q: What is the recommended prophylaxis for endoscopic retrograde cholangiopancreatography?
A: Single dose of i/v gentamicin or oral or i/v ciprofloxacin.
Q: When should intravenous antibacterial prophylaxis be administered for this procedure?
A: Up to 30 minutes before the procedure.
Q: When is prophylaxis recommended for this procedure, and what should be added for certain complications?
A: Prophylaxis is recommended if there’s a history of pancreatic pseudocyst, immunocompromised, history of liver transplantation, or risk of incomplete biliary drainage. For biliary complications following liver transplantation, add i/v amoxicillin or i/v teicoplanin (or vancomycin).
Q: What is the recommended prophylaxis for percutaneous endoscopic gastrostomy or jejunostomy?
A: Single dose of i/v co-amoxiclav or i/v cefuroxime.
Q: When should intravenous antibacterial prophylaxis be administered for this procedure?
A: Up to 30 minutes before the procedure.
Q: When should a single dose of i/v teicoplanin (or vancomycin) be used in this procedure?
A: If there is a history of allergy to penicillins or cephalosporins, or if there is a high risk of meticillin-resistant Staphylococcus aureus.
Certainly! Here are flashcards in question form to help you remember important information about antibacterial prophylaxis for various gastrointestinal procedures:
Gastro-intestinal Procedures: Antibacterial Prophylaxis
Q: What are the options for antibacterial prophylaxis in operations on the stomach or esophagus?
A: Single dose of intravenous gentamicin, cefuroxime, or co-amoxiclav. Additional doses may be given for prolonged procedures or major blood loss.
Q: When should intravenous antibacterial prophylaxis be administered for these procedures?
A: Up to 30 minutes before the procedure.
Q: When should i/v teicoplanin (or vancomycin) be added to the prophylaxis regimen?
A: When there is a high risk of meticillin-resistant Staphylococcus aureus.
Q: What is the recommended prophylaxis for open biliary surgery?
A: Single dose of i/v cefuroxime + i/v metronidazole or i/v gentamicin + i/v metronidazole or i/v co-amoxiclav. Additional doses may be given for prolonged procedures or major blood loss.
Q: When is the administration of i/v metronidazole suggested, and how should it be given?
A: It may be given by suppository, but it should be given 2 hours before surgery for adequate absorption.
Q: What is the additional measure when there is a high risk of meticillin-resistant Staphylococcus aureus in biliary surgery?
A: Add i/v teicoplanin (or vancomycin).
Q: What is the recommended prophylaxis for resections of the colon and rectum for carcinoma, and resections in inflammatory bowel disease, and appendicectomy?
A: Single dose of i/v gentamicin + i/v metronidazole, i/v cefuroxime + i/v metronidazole, or i/v co-amoxiclav.
Q: When should intravenous antibacterial prophylaxis be administered for these procedures?
A: Up to 30 minutes before the procedure.
Q: What is the suggested administration of i/v metronidazole, and when should it be given?
A: It may be given by suppository, 2 hours before surgery for adequate absorption.
Q: When should i/v teicoplanin (or vancomycin) be added to the prophylaxis regimen for these procedures?
A: When there is a high risk of meticillin-resistant Staphylococcus aureus.
Q: What is the recommended prophylaxis for endoscopic retrograde cholangiopancreatography?
A: Single dose of i/v gentamicin or oral or i/v ciprofloxacin.
Q: When should intravenous antibacterial prophylaxis be administered for this procedure?
A: Up to 30 minutes before the procedure.
Q: When is prophylaxis recommended for this procedure, and what should be added for certain complications?
A: Prophylaxis is recommended if there’s a history of pancreatic pseudocyst, immunocompromised, history of liver transplantation, or risk of incomplete biliary drainage. For biliary complications following liver transplantation, add i/v amoxicillin or i/v teicoplanin (or vancomycin).
Q: What is the recommended prophylaxis for percutaneous endoscopic gastrostomy or jejunostomy?
A: Single dose of i/v co-amoxiclav or i/v cefuroxime.
Q: When should intravenous antibacterial prophylaxis be administered for this procedure?
A: Up to 30 minutes before the procedure.
Q: When should a single dose of i/v teicoplanin (or vancomycin) be used in this procedure?
A: If there is a history of allergy to penicillins or cephalosporins, or if there is a high risk of meticillin-resistant Staphylococcus aureus
GI -GCM
Prophylaxis drugs are
Gentamicin, cefuroxime,metronidazole
