Table 6.
The recommendations for antimicrobial prophylaxis [30]
| Surgical category | Routine antibiotic prophylaxis | Penicillin or cephalosporin allergy |
|---|---|---|
| Cardiac | Cefazolin plus vancomycin (device only) | Vancomycin or Clindamycin plus gentamicin |
| Thoracic | Cefazolin | Vancomycin or Clindamycin |
| Colorectal | Cefazolin plus metronidazole | Clindamycin plus gentamicin |
| Otorlaryngology | Cefazolin alone or plus metronidazole | Clindamycin alone or plus ciprofloxacin |
| General surgery | Cefazolin | Clindamycin alone or plus gentamicin |
| Hepatobiliary (complicated) | Cefazolin | Vancomycin plus tobramycin |
| Neurosurgery | Cefazolin plus vancomycin (device only) | Vancomycin |
| Orthopedic | Cefazolin plus vancomycin (artroplasties only) | Vancomycin or Clindamycin |
| Obstetric/gynecologic | Cefazolin | Clindamycin |
| Vascular | Cefazolin plus vancomycin (syntetic graft only) | Vancomycin |
| Plastics, Reconstructive & Hand Surgery | Cefazolin | Clindamycin |
| Urology | Cefazolin | Ciprofloxacin alone or plus vancomycin |