Nephrectomy

Note: If positive urine culture pre-operatively, institute treatment according to culture and susceptibility results.

 

Common Pathogens

S. aureus
Streptococcus spp


Regimen(s) of Choice
See General Principles and Pre-Op Antibiotic Administration and Intraoperative Antibiotic Administration
Cefazolin 2g 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])
Clindamycin 600mg IV x 1 pre-op dose