Spinal surgery with Cefazolin Vancomycin (preferred)* n/a instrumentation 30 mg/kg IV (max: 2 g) at 15 mg/kg IV (max: 1 g) at induction of induction of anesthesia anesthesia OR Clindamycin 15 mg/kg IV (max: 600 mg) at induction of anesthesia *25% S. aureus are resistant to clindamycin Spinal surgery with Cefazolin Vancomycin (preferred)* n/a instrumentation in 30 mg/kg IV (max: 2 g) at 15 mg/kg IV (max: 1 g) at induction of incontinent patient or induction of anesthesia anesthesia patient with neuromuscular + Gentamicin OR disease 2.5 mg/kg IV (max: 120 Clindamycin mg) at induction of 15 mg/kg IV (max: 600 mg) at induction anesthesia of anesthesia + Metronidazole + Gentamicin 10 mg/kg IV (max: 500 2.5 mg/kg IV (max: 120 mg) at induction mg) at induction of of anesthesia anesthesia + Metronidazole 10 mg/kg IV (max: 500 mg) at induction of anesthesia *25% S. aureus are resistant to clindamycin Plastics Clean None None None Cefazolin Clindamycin Cefazolin 30 mg/kg IV (max: 2 g) at 15 mg/kg IV (max: 600 mg) at induction 30 mg/kg IV (max: 2 g) at induction of induction of anesthesia of anesthesia anesthesia ± Gentamicin OR (if beta-lactam allergy) 2.5 mg/kg IV (max: 120 mg) at induction Clindamycin of anesthesia 7.5 mg/kg IV at induction of anesthesia ± Tobramycin 3 mg/kg IV at induction of anesthesia
Spinal surgery with instrumentation Cefazolin 30 mg/kg IV (max: 2 g) at induction of anesthesia Vancomycin (preferred)* 15 mg/kg IV (max: 1 g) at induction of anesthesia OR Clindamycin 15 mg/kg IV (max: 600 mg) at induction of anesthesia *25% S. aureus are resistant to clindamycin n/a Spinal surgery with instrumentation in incontinent patient or patient with neuromuscular disease Cefazolin 30 mg/kg IV (max: 2 g) at induction of anesthesia + Gentamicin 2.5 mg/kg IV (max: 120 mg) at induction of anesthesia + Metronidazole 10 mg/kg IV (max: 500 mg) at induction of anesthesia Vancomycin (preferred)* 15 mg/kg IV (max: 1 g) at induction of anesthesia OR Clindamycin 15 mg/kg IV (max: 600 mg) at induction of anesthesia + Gentamicin 2.5 mg/kg IV (max: 120 mg) at induction of anesthesia + Metronidazole 10 mg/kg IV (max: 500 mg) at induction of anesthesia *25% S. aureus are resistant to clindamycin n/a Plastics Clean None None None Cefazolin 30 mg/kg IV (max: 2 g) at induction of anesthesia Clindamycin 15 mg/kg IV (max: 600 mg) at induction of anesthesia ± Gentamicin 2.5 mg/kg IV (max: 120 mg) at induction of anesthesia Cefazolin 30 mg/kg IV (max: 2 g) at induction of anesthesia OR (if beta-lactam allergy) Clindamycin 7.5 mg/kg IV at induction of anesthesia ± Tobramycin 3 mg/kg IV at induction of anesthesia
SLA_2014_08_19_SO_1400863_SDC1.docx