Table 2.
Type of surgery | Adequate perioperative antibiotic prophylaxis |
Elective colorectal surgery | B or C |
Elective gynaecological surgery | |
Clean procedures | A |
Clean-contaminated, contaminated or dirty infected procedures | B or C |
Elective removal of gall bladder | None |
Acute appendectomy, no perforation | None |
Acute appendectomy, with perforation | B or C |
Other acute laparotomy, | |
Clean procedures | None |
Clean-contaminated, contaminated or dirty infected procedures | B or C |
A = cefuroxime 1.5 g; B = cefuroxime 1.5 g and metronidazole 1.0 g; C = ampicillin 2 g or benzylpenicillin 2 million IU in combination with gentamicin 0.240 g and metronidazole 1.0 g.
Adequate antibiotic prophylaxes divided by surgical procedure are based on the advisory statement from the National Surgical Infection Prevention Project [31].