Antibiotic Guideline

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G. hip surgery), but is dictated by high incidence of resistance to the 1st generation cephalosporins. • Data regarding prophylactic antibiotics in arthroscopic surgery is not available. Page 38 • 4. Compound (open) fractures are considered contaminated, so antibiotics are essentially therapeutic in such situations. e. patients with bleeding ulcer, obstructive duodenal ulcer, gastric ulcer, low gastric acidity, decreased GI motility, malignancy or morbid obesity. a. g. cefazolin 1 g IV pre-op. b.

PENETRATING ABDOMINAL TRAUMA Any antibiotic cover can be considered as treatment and not as prophylaxis. d. 7 mg/kg IV. 10. ABDOMINAL SURGERY NOT INVOLVING A VISCUS Data to support recommendations for prophylaxis not available. 11. OBSTETRICS AND GYNAECOLOGY • Vaginal hysterectomy and emergency caesarian section 1st generation cephalosporin eg. cefazolin 1 - 2 g IV, as a single dose. g. history of previous PID, multiple partners, young, known gonococcal or chlamydia infections) - antibiotic is probably indicated.

Treatment: Clean the external ear canal with an acidic solution, such as 2% acetic acid. After cleaning the canal, initiate ototopical therapy with ciprofloxacin drops or gentamicin ophthalmic solution or tobramycin drops. Systemic antibiotics play little role in treating acute otitis externa; they are reserved for patients who have concomitant cellulitis of the auricle or periauricular structures, or invasive infections. M al i g n a n t o ti ti s Malignant otitis externa is an uncommon syndrome, which usually occurs in el-derly diabetic patients or debilitated patients, where Pseudomonas aeruginosa invades the soft tissue, cartilage and bone.

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