Page 20 - HPP ANTIMICROBIAL GUIDELINE 2018

Suggested Treatment
Infection/ Condition Comments
Preferred Alternative

PLASTIC SURGERY

Lip repair, palatoplasty/ pharyngoplasty Amoxicillin/clavulanate 1.2gm IV

Cranio-facial surgery Amoxicillin/clavulanate 1.2gm IV Metronidazole 500mg IV
Maxillo-facial surgery
PLUS
Cefuroxime1.5gm IV

BURNS

SSG/ Ampicillin/sulbactam 3gm IV Cefazolin 2gm IV MRSA colonized patients:
Debridement Vancomycin 15mg/kg IV

References:
1. CPG: Burn Patient Management (ACI Statewide Burn Injury Service), August 2011.

VASCULAR SURGERY

Vascular graft implants Ampicillin/sulbactam 3gm IV Cefazolin 2gm IV
a. AVF graft

b. Aortic graft / TEVAR / EVAR

HPP AMG Chemoprophylaxis 5