Spectrum: Local Antimicrobial Stewardship, for Eastern Health

No GI Lumen Entry

Note

For high-risk patients only:

  •  Increased gastric pH

  •  GI perforation

  •  Decreased gastric motility

  •  Gastric outlet obstruction

  •  Gastric bleeding

  •  Morbid obesity

  •  Cancer

Regimen of Choice

Cefazolin 2 g IV

Redosing Interval

q4h

β-lactam Allergy

Vancomycin 20 mg/kg IV

Redosing Dose & Interval

see nomogram or monograph

PLUS

Gentamicin 5 mg/kg IV

Redosing Dose & Interval

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

Post-op Antibiotics

None