|
Table 2: Recommendations for the use of preoperative antibiotic prophylaxis. |
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|
Type of surgery |
Recommended prophylaxis |
Recommended prophylaxis in case of allergy to β-lactams |
Level of evidence |
|
Laparoscopy: |
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|
Elective (low risk) |
None |
None |
A |
|
Elective (high risk) |
Cephalothin Ceftriaxone |
Clindamycin or vancomycin + aminoglycoside or fluoroquinolone |
A |
|
Amoxicillin / clavulanate |
Metronidazole + aminoglycoside or fluoroquinolone |
|
|
|
Biliary: |
|||
|
Open procedure |
Cephalothin Ceftriaxone |
Clindamycin or vancomycin + aminoglycoside or fluoroquinolone |
A |
|
Amoxicillin / clavulanate |
|
|
|
|
Gastroduodenal |
Cephalothin |
Clindamycin or vancomycin + aminoglycoside or fluoroquinolone |
A |
|
Intestinal: |
|||
|
With obstruction |
Cephalothin |
Clindamycin or vancomycin + aminoglycoside or fluoroquinolone |
C |
|
No obstruction |
Cephalothin + metronidazole |
Metronidazole + aminoglycoside or fluoroquinolone |
C |
|
Appendiceal* |
Cephalothin + metronidazole |
Clindamycin or vancomycin + aminoglycoside or fluoroquinolone |
A |
|
|
Metronidazole + aminoglycoside or fluoroquinolone |
|
|
|
Colorectal |
Cephalothin + metronidazole |
Clindamycin + aminoglycoside or fluoroquinolone |
A |
|
Amoxicillin / clavulanate |
Metronidazole + aminoglycoside or fluoroquinolone |
|
|
|
Ceftriaxone + metronidazole |
|
|
|
|
Ertapenem |
|
|
|
|
* Uncomplicated appendicitis. Table adapted from: Mexican Institute of Social Security.8 |
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