Page 14 - HPP ANTIMICROBIAL GUIDELINE 2018

Suggested Treatment
Infection/ Condition Comments
Preferred Alternative

OBSTETRICS & GYNAECOLOGY

Caesarean Section
a. Elective Cefuroxime 1.5gm IV stat Ampicillin/sulbactam 3gm IV stat
b. Emergency

Elective surgery
TAHBSO Cefuroxime 1.5gm IV stat Ampicillin/sulbactam 3gm IV stat
Hysterectomy (vaginal or abdominal)

Laparoscopic surgery Antibiotic not recommended Antibiotic not recommended
Vagina and/or uterus not entered

Reference:
1. Antibiotic Prophylaxis in Gynaecology Procedure – SOGC Clinical Practice Guideline no 275, April 2012 (reviewed by SOGC ID committee
in March 2015)
2. Antibiotic Prophylaxis in Obstetric Procedure - SOGC Clinical Practice Guideline no 247, September 2010
3. Finn ES, Jorgen VB, Jon MG, Hanne ME. The Effect of Antibiotic Prophylaxis Guidelines on surgical-site Infections associated with
Caesarean Delivery. International Journal of Gynaecology and Obstetrics. 2014.

HPP AMG Chemoprophylaxis 2