Tables
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. |