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GOI Guidelines For Surgical Antimicrobial Prophylaxis


GOI Guidelines For Surgical Antimicrobial Prophylaxis

In 2016 National Centre For Disease Control, Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India came out with National Treatment Guidelines for Antimicrobial Use in Infectious Diseases.

Following are major recommendation for 

Surgical Antimicrobial Prophylaxis : 

  • To be administered within 1 hr before the surgical incision.
  • Single dose is recommended. Consider for second intra-operative dose in prolong surgery based on the choice of antibiotic used for prophylaxis.
  •  Prophylaxis should not be given beyond surgery duration (except for cardiothoracic surgery, up to 48 hours permissible)
  •  Choice of the prophylaxis should be based on the local antibiogram.
SURGERY MEDICATION
Breast Inj.Cefazolin 2gm or Inj.Cefuroxime 1.5gm IV stat
Gastroduodenal & biliary Inj.Cefaperazone- Sulbactam 2gm IV stat & BD for 24hrs(maximum)
ERCP Inj.Piperacillin-Tazobactum 4.5gm or Inj.Cefaperazone- Sulbactam 2gm IV stat
Cardiothoracic Inj.Cefuroxime 1.5gm IV stat & BD for 48hrs
Colonic surgery Inj.Cefaperazone- Sulbactam 2gm IV stat & BD for 24hrs(maximum)
Abdominal surgery (hernia) Inj.Cefazolin 2gm or Inj.Cefuroxime 1.5gm IV stat
Head & Neck/ ENT Inj.Cefazolin 2gm IV stat
Neurosurgery Inj.Cefazolin 2gm or Inj.Cefuroxime 1.5gm IV stat
Obstetrics& Gynecology Inj.Cefuroxime 1.5gm IV stat
Orthopaedic Inj.Cefuroxime 1.5gm IV stat & BD for 24 hrs(maximum)

or

Inj.Cefazolin 2gm IV stat

Open reduction of closed fracture with internal fixation- Inj.Cefuroxime 1.5gm IV stat and q 12h or Inj.Cefazolin 2gm IV stat and q 12h for 24 hrs

Trauma Inj.Cefuroxime 1.5gm IV stat and q 12h (for 24 hrs) or Inj.Ceftriaxone 2gm IV OD
Urologic procedures Antibiotics only to patients with documented bacteriuria
Trans- rectal prostatic surgery Inj.Cefaperazone- Sulbactam 2gm IV stat

You can read the full Guideline by clicking on the following link :

http://www.ncdc.gov.in/writereaddata/linkimages/AMR_guideline7001495889.pdf

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supriya kashyap

supriya kashyap

Supriya Kashyap Joined Medical Dialogue as Reporter in 2015 . she covers all the medical specialty news in different medical categories. She also covers the Medical guidelines, Medical Journals, rare medical surgeries as well as all the updates in medical filed. She is a graduate from Delhi University. She can be contacted at supriya.kashyap@medicaldialogues.in Contact no. 011-43720751
Source: self

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