Cytoscopy (High Risk)

Includes

Ureteroscopy
Prolonged indwelling catheter
Neutropenia
Placement of prosthetic material
Obstructive uropathy
Unavoidable positive urine culture at surgery

Suggested Oral Regimen

Co-trimoxazole 6-10mg TMP/kg PO

Give 2h before surgery

Suggested Parenteral Regimen

Ceftriaxone IV 75mg/kg

Pre-Op Administration

...

Intraoperative Re-Dosing Interval

...

Penicillin Allergy/Anaphylaxis

Gentamicin IV 2.5mg/kg*

*Gentamicin dosing should be based on actual body weight (ABW), or dosing weight (DW) if patient's ABW is > 25% above IBW (Ideal Body Weight). Consult a pharmacist regarding a patient with renal insufficiency.

Pre-Op Administration

Administer over 30 minutes just prior to procedure

Intraoperative Re-Dosing Interval

q4h from time of pre-op dose