Nature of operation | Common pathogens | Recommended antimicrobials | Usual adult dose* | Redose interval¶ |
Clean | – | None | – | – |
Clean with placement of prosthesis (excludes tympanostomy tube placement) | Staphylococcus aureus, S. epidermidis, streptococci | Cefazolin*Δ | <120 kg: 2 g IV ≥120 kg: 3 g IV | 4 hours |
OR cefuroxime | 1.5 g IV | 4 hours | ||
OR vancomycin◊ | 15 mg/kg (max 2 g) | N/A | ||
OR clindamycin | 900 mg IV | N/A | ||
Clean-contaminated | Anaerobes, enteric gram-negative bacilli, S. aureus | CefazolinΔ | <120 kg: 2 g IV ≥120 kg: 3 g IV | 4 hours |
PLUS metronidazole | 500 mg IV | N/A | ||
OR cefuroxime | 1.5 g IV | 4 hours | ||
PLUS metronidazole | 500 mg IV | N/A | ||
OR ampicillin-sulbactam§ | 3 g IV | 2 hours | ||
OR clindamycin | 900 mg IV | 6 hours |
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