Guidelines
Spinal Surgery with Instrumentation (Select Patients)

Spinal Surgery with Instrumentation (Select Patients)

Note

MRSA carrier: Consider intranasal mupirocin 2% bid-tid X 3-5 days prior to surgery.

Suggested Regimen

q4h from time of pre-op dose

AND

*Gentamicin dosing should be based on actual body weight (ABW), or dosing weight (DW) if patient's ABW is > 25% above IBW (Ideal Body Weight). Consult a pharmacist regarding a patient with renal insufficiency.

Administer over 30 minutes just prior to procedure

q4h from time of pre-op dose

AND

Administer over 30 minutes just prior to procedure

q8h from time of pre-op dose

Penicillin Allergy/Anaphylaxis

Administer over 30 minutes just prior to procedure

q4h from time of pre-op dose

AND

*Gentamicin dosing should be based on actual body weight (ABW), or dosing weight (DW) if patient's ABW is > 25% above IBW (Ideal Body Weight). Consult a pharmacist regarding a patient with renal insufficiency.

Administer over 30 minutes just prior to procedure

q4h from time of pre-op dose

AND

Administer over 30 minutes just prior to procedure

q8h from time of pre-op dose