Recommendations
| Dosage | Remarks | |
|---|---|---|
|
cefazolin IV single dose
+ metronidazole IV 500 mg single dose |
hysterectomy |
|
|
cefazolin IV single dose
+ metronidazole IV 500 mg single dose |
surgical treatment of vulval carcinoma |
|
|
inguinal lymph node dissection: no prophylaxis |
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|
low-risk laparoscopy *see note: no prophylaxis |
||
|
cefazolin IV single dose
|
high-risk laparoscopy *see note. In case of bowel injury also metronidazole IV 500 mg |
|
|
cefazolin IV single dose
|
gynaecological surgery with implant or non-absorbable sutures; when opening the vagina also metronidazole 500 mg IV single dose |
|
|
vaginal surgery without implant, including anterior and posterior repair: no prophylaxis |
||
|
cefazolin IV single dose
+ metronidazole IV 500 mg single dose |
mid-compartment prolapse surgery |
|
|
azithromycin PO 1000 mg single dose
|
instrumental abortion in the 1st trimester; no prophylaxis for miscarriage curettage |
|
|
cefazolin IV 2000 mg single dose
|
primary caesarean section, to be administered before incision |
|
|
cefazolin IV 2000 mg single dose
+ metronidazole IV 500 mg single dose |
secondary or emergency caesarean section, to be administered before incision if possible For code Red caesarean section give a second dose of cefazolin if necessary |
|
|
cefazolin IV 1 g single dose
+ metronidazole IV 500 mg single dose |
3rd/4th degree rupture (OASIS) extended prophylaxis 3 days amoxicillin/clavulanic acid 3 times daily 500/125 mg |
|
|
placenta removal (manual): no prophylaxis |
||
|
cefazolin IV 2 g single dose
+ metronidazole IV 500 mg single dose |
neovagina extended prophylaxis 7 days amoxicillin/clavulanic acid 3 times daily 500/125 mg |
|
|
Dilatation-indicated transvaginal cerclage (emergency cerclage): 2 weeks extended prophylaxis amoxicillin-clavulanic acid 1000/100 mg 4 times daily for 2 weeks |
||
|
cefazolin IV 1000 mg single dose
|
History-indicated transvaginal cerclage Ultrasound-indicated transvaginal cerclage
|
|
|
cefazolin IV 2 g single dose
|
Transabdominal cerclage |
| Dosage | Remarks | |
|---|---|---|
|
clindamycin IV 600 mg single dose
|
hysterectomy |
|
|
clindamycin IV 600 mg single dose
|
primary and secondary caesarean section |
A laparoscopy with low infection risk is defined as: a short (< 1 hour) procedure that proceeds uncomplicatedly, in a patient under 70 years, with no spillage of cyst contents, with limited blood loss (< 500 ml), and in which no implant, mesh or other non-absorbable material is used.
In all other cases the procedure is considered a laparoscopy with higher infection risk.