Gastrointestinal or Genitourinary Procedures

Notes

Please review criteria to determine if your patient requires prophylaxis

Prophylaxis solely to prevent IE is no longer recommended.

For patients scheduled for an elective urinary tract manipulation who also have an enterococcal urinary tract infection or colonization, it may be reasonable to administer antibiotic therapy to eradicate enteroccci from the urine before the procedure.

If the urinary tract procedure is not elective, it may be reasonable to administer an antimicrobial regimen to the patient that contains an agent active against enterococci.

Amoxillin or ampicillin is the preferred agent for enterococcal coverage; vancomycin may be administered to patients unable to tolerate ampicillin.

Allergy to Penicillin or Ampicillin