Intraoperative Antibiotic Administration

Intraoperative repeat dosing is recommended if:

  • prolonged surgical procedure (> 2 half-lives of the antimicrobial), or

  • major blood loss (> 1.5L)

Prophylactic Antibiotic Recommended Intraoperative redosing interval (from time of administration of pre-op dose):
Cefazolin q4h (q3h with cardiopulmonary bypass)
Cefuroxime q4h
Clindamycin q4h
Levofloxacin q12h
Metronidazole q8h
Vancomycin q8h