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Antimicrobials
The following applies to craniotomy, shunt insertion or revision
CeFAZolin IV 30 mg/kg/dose (Max 2000 mg/dose)*
*The maximum adult IV dose for CeFAZolin in patients ≥ 120 kg is 3 g/dose.
Repeat Dosing During Procedure
q4h
Post-Operative Frequency
None required
Maximum Post-Operative Duration
If MRSA positive, vancomycin should be given in addition to cefazolin.
Vancomycin IV 15 mg/kg/dose (Max 1000 mg/dose)
q6h
If sinuses opened during surgery, ADD:
Metronidazole IV 10 mg/kg/dose (Max 500 mg/dose)
q12h
Post-Operative Duration