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SCIP Antibiotics Selection Table

 Surgical Procedure
 Required Antibiotic
 Penicillin Allergy
 COLON/BOWEL
SURGERY
Cefoxitin
OR
Ertapenem
OR
Unasyn
Flagyl & Gentamicin
OR
Flagyl & Ciprofloxacin
OR
Clindamycin & Gentamicin
OR
Clindamycin & Ciprofloxacin
PEG PLACEMENT/
REVISION
Cefazolin
OR
Cefoxitin
 Clindamycin & Gentamicin
OR
Clindamycin & Ciprofloxacin
 SPINE, ORTHO, PODIATRY, NEURO, CABG, Pacemaker, AICD, other CARDIAC
& VASCULAR SURGERY
 Cefazolin
OR
Vancomycin*
 Clindamycin
OR
Vancomycin*
 HYSTERECTOMY
ABDOMINAL/VAGINAL
 Cefoxitin
OR
Cefazolin
OR
Unasyn
 Flagyl & Gentamicin
OR
Flagyl & Ciprofloxacin
OR
Clindamycin & Gentamicin
OR
Clindamycin & Ciprofloxacin
ABDOMINAL/VAGINAL HYSTERECTOMY
WITH
COLON SURGERY
Cefoxitin
OR
Unasyn
OR
Ertapenem
Flagyl & Gentamicin
OR
Flagyl & Ciprofloxacin
OR
Clindamycin & Gentamicin
OR
Clindamycin & Ciprofloxacin
HIP & KNEE ARTHROPLASTY
Cefaxolin
OR
Vancomycin*
Vancomycin*
OR
Clindamycin
 HEAD & NECK  Cefazolin  Vancomycin*
OR
Clindamycin +/-  Gentamicin
 PROSTATE BIOPSY  Cefoxitin  Ciprofloxacin
OR
Flagyl & Gentamicin
OR
 Clindamycin & Gentamicin
 PENILE PROSTHESIS  Cefazolin & Gentamicin  Clindamycin & Gentamicin

*VANCOMYCIN DOCUMENTATION CRITERIA

Use of Vancomycin for surgical prophylaxis requires MD, NP or PA documentation of one or more of the following reasons before surgery start. 
These reasons are listed on the Surgical Required Elements (Green Sheet). By checking one or more of these boxes on the green sheet before surgery start, the pre-operative documentation requirement is met.

  Beta-lactam/PCN allergy
  Increased MRSA rate facility-wide or operation-specific
  MRSA infection or colonization or positive screen or history
  Valve surgery on O.R. consent
  Chronic wound care or dialysis

ORAL antibiotics are only acceptable for Prostate Biopsy & Pubovaginal Sling



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