Thoracoscopy, including video-assisted thoracoscopic surgery (VATS)
Common Pathogens
S. aureus
Coagulase negative Staphylococcus (CoNS)
Streptococcus spp
Enterobacteriaceae
Oral anaerobes
| Regimen(s) of Choice See General Principles and Pre-Op Antibiotic Administration and Intraoperative Antibiotic Administration | ||
|---|---|---|
| Cefazolin | 2g IV | x 1 pre-op dose |
| or | ||
| Cefuroxime | 1.5g IV | x 1 pre-op dose |
| Alternative Regimens if allergy to cefazolin, or severe non-IgE-mediated reaction to any β-lactam (interstitial nephritis, hepatitis, hemolytic anemia, serum sickness, severe cutaneous reactions [e.g. SJS, TEN, DRESS]) | ||
|---|---|---|
| [Vancomycin | 15mg/kg IV | x 1 pre-op dose |
| or | ||
| Clindamycin] | 600mg IV | x 1 pre-op dose |
| +/- | ||
| Gentamicin | 5mg/kg IV | x 1 pre-op dose |