Spectrum: Local Antimicrobial Stewardship, for Eastern Health

Clean-contaminated procedures

Procedures included:

  •  Penetration of the oral or pharyngeal mucosa

  •  Complex reconstruction and resection

  •  Oncologic procedures

Regimen of Choice

Cefazolin 2 g IV

Redosing interval

q4h

PLUS

Metronidazole 500 mg IV

Redosing interval

q8h

β-lactam Allergy

Clindamycin 900 mg IV

Redosing interval

q6h

PLUS

Gentamicin 5 mg/kg IV

Redosing Dose & Interval

Not necessary unless significant blood loss as this is q24h dosage regimen

Post-op Antibiotics

24 hours