Respiratory Procedures

Notes

Please review criteria to determine if your patient requires prophylaxis

In appropriate candidates, it may be reasonable to give one of the following prophylactic regimens before an invasive procedure (e.g., tonsillectomy) involving the respiratory tract that necessitates incision or biopsy of the respiratory mucosa.

Prophylaxis is not recommended for bronchoscopy unless the procedure involves incision of the respiratory tract mucosa.

Oral Regimen

Amoxicillin 2 g oral

Unable to Take Oral Medication

Ampicillin 2 g IM or IV

OR

Cefazolin 1 g IM or IV

OR

Ceftriaxone 1 g IM or IV

Allergy to Penicillin or Ampicillin (Oral Regimen)

Cephalexin 2 g oral

OR

Clindamycin 600 mg oral

OR

Azithromycin 500 mg oral

OR

Clarithromycin 500 mg oral

Allergy to Penicillin or Ampicillin (Unable to Take Oral Regimen)

Cefazolin 1 g IM or IV

OR

Ceftriaxone 1 g IM or IV

OR

Clindamycin 600 mg IM or IV