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Guidelines
Pathogens
Antimicrobials
≤ 24 hours post-op if OR
None
Cefazolin 2g IV Q8H peri-operatively
Therapy Pearls
Symptomatic gallstones develop into acute cholecystitis in only ~10% of patients over a decade
Cefazolin 3g is used peri-op for ≥ 120kgs
Metronidazole may be added to peri-op regimen depending on the Clinical Order Set used
Gentamicin 120mg IV 30 min PRE-OP
AND
Clindamycin 600mg IV 30 min PRE-OP