Kidney Cefazolin Vancomycin (preferred)* n/a 30 mg/kg IV (max: 2 g) at 15 mg/kg IV (max: 1 g) induction of anesthesia OR ± Clindamycin Cefazolin 15 mg/kg IV (max: 600 mg) 30 mg/kg IV (max: 2 g) post-op + Gentamicin q8h x 24 hrs (for UTI 2.5 mg/kg IV (max: 120 mg) at induction prophylaxis) of anesthesia *25% are resistant to S. aureus clindamycin
Kidney Cefazolin 30 mg/kg IV (max: 2 g) at induction of anesthesia ± Cefazolin 30 mg/kg IV (max: 2 g) post-op q8h x 24 hrs (for UTI prophylaxis) Vancomycin (preferred)* 15 mg/kg IV (max: 1 g) OR Clindamycin 15 mg/kg IV (max: 600 mg) + Gentamicin 2.5 mg/kg IV (max: 120 mg) at induction of anesthesia *25% S. aureus are resistant to clindamycin n/a