Antibiotic Coverage for Certain Surgical Procedures

Surgical Procedure

Approved Antibiotics

Cardiac or vascular

Cefazolin, cefuroxime, or vancomycin

If beta-lactam allergy: Vancomycin or clindamycin

Hip/knee arthroplasty

Cefazolin, cefuroxime, or vancomycin

If beta-lactam allergy: Vancomycin or clindamycin

Colon

Cefotetan, cefoxitin, ampicillin/sulbactam, or ertapenemorcefazolin plus metronidazoleorcefuroxime plus metronidazoleorceftriaxone plus metronidazole

If beta-lactam allergy: Clindamycin plus gentamicinorclindamycin plus ciprofloxacinorclindamycin plus aztreonamormetronidazole plus gentamicinormetronidazole plus ciprofloxacin

Hysterectomy

Cefotetan, cefazolin, cefoxitin, cefuroxime, or ampicillin/sulbactam

If beta-lactam allergy: Clindamycin plus gentamicinorclindamycin plus ciprofloxacinorclindamycin plus aztreonamormetronidazole plus gentamicinormetronidazole plus ciprofloxacinorvancomycin plus aminoglycosideorvancomycin plus aztreonamorvancomycin plus quinolone