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neurochirurgische ingrepen

Advices

≥ 18 years
Priority Medication Remarks
Medication:

cefazoline iv 2g one-off

Remarks:

SWAB remarks

neurochirurgische procedures, inclusief CNS-shunts en intrathecale pompen
Medication:

cefuroxim iv 1500mg one-off

Remarks:

SWAB remarks

transsfenoïdale hypofysechirurgie
≥ 18 years

Indications: sterk vermoeden op- of bewezen cefazoline/cefuroxim-allergie of eerdere ernstige ‘delayed type’ allergie op een ß-lactam antibioticum

Priority Medication Remarks
Medication:

clindamycine iv 600mg one-off

or

vancomycine iv 1000mg one-off

Remarks:

SWAB remarks

neurochirurgische procedures, inclusief CNS-shunts en intrathecale pompen

Medication:

clindamycine iv 600mg one-off

or

vancomycine iv 1000mg one-off

Remarks:

SWAB remarks

transsfenoïdale hypofysechirurgie

General comments

Dosering cefazoline aanpassen aan het gewicht: > 80 kg is de dosering 2g/ dosis en bij >120 kg 3g/dosis

 

Zie internationale richtlijn Clinical practice guidelines for antimicrobial prophylaxis in surgery:

http://www.idsociety.org/uploadedFiles/IDSA/Guidelines-Patient_Care/PDF_Library/2013%20Surgical%20Prophylaxis%20ASHP,%20IDSA,%20SHEA,%20SIS(1).pdf

Sources

Antimicrobial resources

The following antimicrobial agents have been used in these recommendations:

External antimicrobial resources
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Metadata

Swab vid: G-8686.3
Updated: 11/30/2023 - 11:54
Status: Published