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. 2005 Jun;91(6):715–718. doi: 10.1136/hrt.2003.033183

Table 6.

 Antibiotic prophylaxis for IE during urological and digestive procedures: Administration of antibiotics respecting contraindications and usual conditions of use and surveillance

Antibiotic Dosage and route of administration
Before (in the hour before the procedure) After (6 h hours later)
No allergy to β lactams Amoxicillin then 2 g iv (infusion 30 min) 1 g orally
gentamicin 1.5 mg/kg iv (infusion 30 min) or im No second dose
Allergy to β lactams Vancomycin or 1 g iv (infusion ⩾60 min) No second dose
teicoplanin then 400 mg iv (bolus)
gentamicin 1.5 mg/kg iv (infusion 30 min) or im

Paediatric dosage: amoxicillin 50 mg/kg iv before, 25 mg/kg orally 6 hours later; gentamicin 2 mg/kg (maximum 80 mg); vancomycin 20 mg/kg (maximum 1 g); teicoplanin: no official approval for antibiotic prophylaxis in children.

im, intramuscularly.

If antibiotic prophylaxis concerns a procedure for which the microorganism is a staphylococcus, pristinamycin should be used unless contraindicated.