Recommendations for antibiotic prophylaxis in dermatologic surgery

IE: infective endocarditis; PJI: prosthetic joint infection; HIV: human immunodeficiency virus.
* High risk for surgical site infection:

• Contaminated or dirty, infected wound
• Groin or below the knee
• Wedge excision of lip or ear
• Skin flaps on nose
• Skin grafting

¶ Refer to UpToDate table on antibiotic prophylaxis for dermatologic surgery in adults.
Δ High risk for IE:

• Prosthetic cardiac valve
• Previous IE
• Congenital heart disease
• Cardiac transplant recipient with valvulopathy
• Unrepaired cyanotic congenital heart defects
• Repaired congenital heart defects with residual defects at or adjacent to the site of prosthetic patch or device
• Congenital heart defect that has been repaired in the previous six months

◊ High risk for hematogenous joint infection:

• First two years following joint replacement
• Previous prosthetic joint infection
• Immunocompromised status
• Insulin-dependent diabetes mellitus
• HIV infection
• Malignancy
• Malnutrition