neurosurgical procedures

Recommendations

≥ 18 years
	Dosage	Remarks
	cefazolin iv 2 g single dose	SWAB remarks neurosurgical procedures, including CNS shunts and intrathecal pumps SWABID (National) remarks If low back surgery (lumbar or lower) AND faecal/urinary incontinence: cefuroxime iv 1500 mg single dose.
	cefuroxime iv 1500 mg single dose	SWAB remarks transsphenoidal pituitary surgery

≥ 18 years

Indications: strong suspicion of or proven cefazolin/cefuroxime allergy or previous severe ‘delayed type’ allergy to a ß-lactam antibiotic
	Dosage	Remarks
	clindamycin iv 600 mg single dose or vancomycin iv 1000 mg single dose	SWAB remarks neurosurgical procedures, including CNS shunts and intrathecal pumps
	clindamycin iv 600 mg single dose or vancomycin iv 1000 mg single dose	SWAB remarks transsphenoidal pituitary surgery