Recommendations
| Дозування | Ремарки | |
|---|---|---|
|
cefuroxime iv 1500 mg single dose
|
Percutaneous nephrolithotomy (PNL) |
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Transabdominal radical nephrectomy NO PROPHYLAXIS |
||
|
cefuroxime iv 1500 mg single dose
or ciprofloxacin po 500 mg single dose |
Insertion/change of nephrostomy catheter (NSK) (or guided by recent culture) |
|
|
Donor nephrectomy (living donor) A urine culture is always performed during the donor screening process. Any bacteriuria is treated. Perioperative NO PROPHYLAXIS |
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Donor nephrectomy (deceased donor) Positive blood cultures or confirmed infections should be treated in consultation with the transplant physician (see NTS 2018 document) |
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|
cefuroxime iv 1500 mg single dose
|
Donor kidney implantation (recipient) The recipient receives perioperative prophylaxis regardless of the kidney's origin (living or deceased donor) |
| Дозування | Ремарки | |
|---|---|---|
|
cefuroxime iv 1500 mg single dose
|
Open prostatectomy |
|
|
piperacillin/tazobactam iv 4500 mg single dose
|
Radical cystectomy with creation of urostomy (Hautmann, Bricker, Indiana pouch) |
|
|
piperacillin/tazobactam iv 4500 mg single dose
|
Removal of splints after radical cystectomy |
|
|
ciprofloxacin po 500 mg 2x daily for 1 day
|
Transrectal prostate biopsy 2 hours before the procedure and repeat 10 hours after the procedure |
|
|
ciprofloxacin po 500 mg 2x daily for 1 week
|
MRI Cryo and MRI Tulsa extended prophylaxis for 1 week |
|
|
piperacillin/tazobactam iv 4500 mg single dose
|
Removal of TUC after Hryntschak |
| Дозування | Ремарки | |
|---|---|---|
|
Diagnostic cystoscopy NO PROPHYLAXIS |
| Дозування | Ремарки | |
|---|---|---|
|
cefuroxime iv 1500 mg single dose
|
Transurethral prostate procedures (TURP, GGL) If a bladder catheter or suprapubic catheter is in situ preoperatively, treat bacteriuria first with 5 days of antibiotics guided by culture. Also change the catheter under antibiotic therapy. Regardless of catheter, always provide perioperative prophylaxis. |
|
|
cefuroxime iv 1500 mg single dose
|
Transurethral resection of bladder tumour |
|
|
cefuroxime iv 1500 mg single dose
|
Ureterorenoscopy (URS) |
| Дозування | Ремарки | |
|---|---|---|
|
cefuroxime iv 1500 mg single dose
+ metronidazole iv single dose |
AMS-prosthesis, Argus male sling, Proact para-urethral balloon
extended prophylaxis 5 days amoxicillin/clavulanic acid 3 times daily 500/125 mg, or in case of allergy clindamycin 3 times daily 600 mg |
|
|
cefuroxime iv 1500 mg single dose
|
Neurostimulator |
|
|
cefuroxime iv 1500 mg single dose
|
Testicular prosthesis |
|
|
cefuroxime iv 1500 mg single dose
|
Sling (female) TVT, TVT-O, (no antibiotics for primary placement)
if antibiotics: 3 days extended prophylaxis ciprofloxacin 2x daily 500 mg |
|
|
cefuroxime iv 1500 mg single dose
|
Penile prosthesis |
|
|
cefuroxime iv 1500 mg single dosemetronidazole iv 500 mg single dose
|
Urethroplasty no extended prophylaxis |
|
|
cefuroxime iv 1500 mg single dose
|
Placement of Interstim extended prophylaxis 5 days amoxicillin/clavulanic acid 3 times daily 500/125 mg, or in case of allergy clindamycin 3 times daily 600 mg |
| Дозування | Ремарки | |
|---|---|---|
|
Varicocele, vasectomy, frenulotomy, circumcision, orchidectomy NO PROPHYLAXIS |
| Дозування | Ремарки | |
|---|---|---|
|
Extracorporeal shock wave lithotripsy (ESWL) NO PROPHYLAXIS |
Cefuroxime repeat dosing if operative duration >3 hours and if blood loss >1500 ml
Piperacillin/tazobactam repeat dosing for operative duration >2 hours and for blood loss > 1500 ml.
As operative duration for radical cystectomy is always >2 hours, start the second dose after 1–1.5 hours.
The use of extended antibiotic prophylaxis after prosthesis surgery is not recommended by the antibiotic committee. However, extended antibiotic prophylaxis is applied by the urology department. This is in consultation with the antibiotic committee. Data are currently being generated together and the evidence for extended prophylaxis is being examined. Until then, the departmental protocol remains in force.