3rd and 4th degree tears

Prophylaxis

Co-amoxiclav 1.2g IV

Continue orally for 5 days post-op (625mg TDS)

Prophylaxis - Penicillin Allergy

Clindamycin 900mg IV or oral +/- Gentamicin IV - see under drug dosing for dose

Continue orally for 5 days post-op (300mg QDS)

Prophylaxis - MRSA Positive Patient

Teicoplanin - see under drug dosing for dose AND Metronidazole 500mg IV  +/- Gentamicin - see under drug dosing for dose

for oral post-op option, d/w microbiology