Canterbury DHB

Orthopaedic

• Likely pathogens: Staphylococcus aureus

cefazolin HMLSchedNZFPMLnoids Cefazolin F: n/a Half life: 2 hours Elimination: renal fe: 0.9

IV 2 g (IV 3 g in patients ≥ 120 kg body weight)

• Post-operatively, give 2 g IV every eight hours for 2 doses. Consider reducing the continuation dose to 1 g IV every eight hours in patients with reduced renal function (e.g. CrCl < 30 mL/min).

Severe penicillin allergy

vancomycin HMLSchedNZFPMLnoids Vancomycin F: n/a Half life: 6 hours Elimination: renal fe: 0.9 Additional points: TDM

1 g (< 70 kg), 1.5 g (70-100 kg), or 2 g (> 100 kg)

• Must be given diluted (1 g in at least 200 mL) and slowly (≤ 1000 mg/hour) to minimise infusion reactions.

Known colonisation with MRSA (use vancomycin alone in severe penicillin allergy)

AND

• Must be given diluted (1 g in at least 200 mL) and slowly (≤ 1000 mg/hour) to minimise infusion reactions.

must be prescribed or recommended by a consultant.

Topic Code: 99276