Surgical Antimicrobial Prophylaxis Flashcards
Memorize the common pathogens in surgical procedures, and what antibiotics are used for prophylaxis.
Example: This is where the type of operation goes
Example: And this is where the common pathogens
AND drug of choice (DOC) are listed.
Cardiac (with median sternotomy)
Staphylococci, enteric gram-negative rods
Cefazolin
Noncardiac, thoracic
Staphylococci, streptococci, enteric gram-negative rods
Cefazolin
Vascular (abdominal and lower extremity)
Staphylococci, enteric gram-negative rods
Cefazolin
Neurosurgical (craniotomy)
Staphylococci
Cefazolin
Orthopedic (with hardware insertion)
Staphylococci
Cefazolin
Head and neck (with entry into the oropharynx)
Staph. aureus, oral flora
Cefazolin
Gastroduodenal (high-risk patients)
Staph. aureus, oral flora, enteric gram-negative rods
Cefazolin
Biliary tract (high-risk patients)
Staph. aureus, enterococci, enteric gram-negative rods
Cefazolin
Colorectal (elective or scheduled surgery)
enteric gram-negative rods, anaerobes
Oral erythromycin plus neomycin
Colorectal (obstructive or emergency surgery)
enteric gram-negative rods, anaerobes
Cefoxitin, cefortetan, or cefmetazole
Appendectomy
enteric gram-negative rods, anaerobes
Cefoxitin, ceftizoxime, cefotetan, or cefmetazole
Hysterectomy
enteric gram-negative rods, anaerobes, enterococci, group B streptococci
Cefazolin
Cesarean Section
enteric gram-negative rods, anaerobes, enterococci, group B streptococci
Cefazolin
