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Tables

Table 6.1: Dosing and Redosing Intervals for Surgical Prophylaxis

Antimicrobial

Standard I.V. Dose*

Half-life (Hour)*

Recommended Redosing Interval (Hour)

Cefazolin

1–2 g

1–2

4

Cefuroxime

1.5 g

1–2

4

Clindamycin

600–900 mg

2–4

6

Amoxicillin-clavulanate

1.2 g

1

2

Metronidazole

500 mg

6–8

N/A

Vancomycin

1 g infused over 2 hours

4–8

N/A

Ceftriaxone

2 g

5–11

N/A

Gentamicin

3 mg/kg

2–3

N/A

Ciprofloxacin

400 mg infused over 60 min

3–7

N/A

*In patients with normal renal function.

For patients allergic to cefazolin, vancomycin 1 g administered over a 2-hour infusion can serve as an alternative. It is important to note that the rapid intravenous administration of vancomycin may result in hypotension, which poses a particular risk during the induction of anaesthesia.

For antimicrobials with a short half-life (e.g. cefazolin) used before long procedures, redosing in the operating room is recommended at an interval of approximately two times the half-life of the agent in patients with normal renal function. Recommended redosing intervals marked as “not applicable” (N/A) are based on typical case length; for unusually long procedures, redosing may be needed.