Prophylactic Antibiotic Regimen Selection for Surgery Prophylactic Antibiotic Regimen Selection for Surgery Surgical Approved Antibiotics Surgical Approved Antibiotics Procedure Procedure Hip/Knee Other Cardiac
If β-lactam allergy: Vancomycin* or Clindamycin*
Arthroplasty
If β-lactam allergy: Vancomycin* or Clindamycin*
Vascular
Cefotetan, Cefazolin, Cefoxitin, Cefuroxime, or
Oral: after effective mechanical bowel preparation,
Hysterec-
Administered for 18 hours preoperatively
Cefotetan, Cefoxitin, or Ampicillin/Sulbactam
Clindamycin + Gentamicin, or Clindamycin + Quinolone, or Clindamycin + Aztreonam
OR Metronidazole with Gentamicin, or Metronidazole + Quinolone
*For cardiac, orthopedic, and vascular surgery, if
*For cardiac, orthopedic, and vascular surgery, if the
Considerations
the patient is allergic to β-lactam antibiotics, Van-
Considerations
patient is allergic to β-lactam antibiotics, Vancomy-
comycin or Clindamycin are acceptable substitutes.
cin or Clindamycin are acceptable substitutes.
**Vancomycin is acceptable with a physician
**Vancomycin is acceptable with a physician docu-
documented justification for its use (see data ele-
mented justification for its use (see data element
The antibiotic regimens described in this table reflect the combined, published recommendations
This material was prepared by FMQAI, the Medicare Quality Improvement Organization for Florida,
of the American Society of Health-System Pharmacists, the Medical Letter, the Infectious Diseases
under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S.
Society of America, the Sanford Guide to Antimicrobial Therapy 2001, and the Surgical Infection
Department of Health and Human Services. The contents presented do not necessarily reflect CMS
Society. Valid for October 2006 discharges forward. Prophylactic Antibiotic Regimen Selection for Surgery Prophylactic Antibiotic Regimen Selection for Surgery Surgical Approved Antibiotics Surgical Approved Antibiotics Procedure Procedure Hip/Knee Other Cardiac
If β-lactam allergy: Vancomycin* or Clindamycin*
Arthroplasty
If β-lactam allergy: Vancomycin* or Clindamycin*
Vascular
Cefotetan, Cefazolin, Cefoxitin, Cefuroxime, or
Oral: after effective mechanical bowel preparation,
Hysterec-
Administered for 18 hours preoperatively
Cefotetan, Cefoxitin, or Ampicillin/Sulbactam
Clindamycin + Gentamicin, or Clindamycin + Quinolone, or Clindamycin + Aztreonam OR Metronidazole with Gentamicin, or Metronidazole + Quinolone
*For cardiac, orthopedic, and vascular surgery, if
*For cardiac, orthopedic, and vascular surgery, if the
Considerations
the patient is allergic to β-lactam antibiotics, Van-
Considerations
patient is allergic to β-lactam antibiotics, Vancomy-
comycin or Clindamycin are acceptable substitutes.
cin or Clindamycin are acceptable substitutes.
**Vancomycin is acceptable with a physician
**Vancomycin is acceptable with a physician docu-
documented justification for its use (see data ele-
mented justification for its use (see data element
The antibiotic regimens described in this table reflect the combined, published recommendations
This material was prepared by FMQAI, the Medicare Quality Improvement Organization for Florida,
of the American Society of Health-System Pharmacists, the Medical Letter, the Infectious Diseases
under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S.
Society of America, the Sanford Guide to Antimicrobial Therapy 2001, and the Surgical Infection
Department of Health and Human Services. The contents presented do not necessarily reflect CMS
Society. Valid for October 2006 discharges forward.
WASH HANDS/ALCOHOL GEL SNEEZE IN ARM STAY HOME WHEN SICK H1N1 Partner Briefing From: Director of Health, David R. Gifford, MD, MPH Re: Local Influenza Activity Level: Regional1, H1N1 predominant circulating strain Rhode Island2: 2 hospitalized cases, 0 deaths National Report3: 16,174 hospitalized cases, 1,379 deaths Sentinel Surveillance (% of visits due to influenza-like ill
What we think of it, the information we get, the people who provide it JULY 2005 Highland Users Group can be contacted through Graham Morgan, Highland Telephone: (01463) 718817 / Fax: (01463) 718818 CONTENTS PAGE What is HUG? Introduction Medication issues- Are we told about the effects of our medication? What happens when we contemplate coming off medication? 10 What inform