Single dose, IV prophylaxis ≤ 60mins prior to skin incision/ intervention.
- See Gentamicin dosing table
- Doses of up to 400mg gentamicin can be given by slow IV injection over 3 – 5 minutes
- If subsequent treatment using gentamicin is required, measure gentamicin concentration 6-14 hours post theatre gentamicin dose, and follow GGC guidance on staffnet for gentamicin dosing. Calculate the subsequent gentamicin dose using the online calculator. Discuss with pharmacy if further advice is required (or if out of hours, the on call pharmacist)
MRSA: decolonise prior to procedure as per NHS GGC infection control guidelines and discuss with microbiology re antibiotic choice.
CPE carriers: If identified as Carbapenamase producing Enterobacterales carriers contact microbiology.