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גרסת הדפסה

ד''ר רוברט הופמן      Dr. Robert D. Hoffman

רופא משפחה מומחה       Specialist in Family Medicine

8Gordon Street  רח' גורדון     hoffman5@netvision.net.il

 

המלצות טיפול אנטיביוטיקה מניעתי


 






Name: ____________________________________________

needs protection from
BACTERIAL ENDOCARDITIS
because of an existing
HEART CONDITION

Diagnosis:

Prescribed by: _______________________________________
Date: ______________________________________________


 

Prophylactic Regimens for Dental, Oral, Respiratory Tract, or Esophageal Procedures.

(Follow-up dose no longer recommended.)

Total children's dose should not exceed adult dose.

 

I. Standard general prophylaxis for patients at risk:
Amoxicillin: Adults, 2.0 g (children, 50 mg/kg)

*Given orally 1 hour before procedure.

 

II. Unable to take oral medications:
Ampicillin: Adults, 2.0 g (children, 50 mg/kg)

*Given IM or IV within 30 minutes before procedure.

 

III. Amoxicillin/Ampicillin/Penicillin-allergic patients:
Clindamycin: Adults, 600 mg (children, 20 mg/kg)

*Given orally one hour before procedure.

-OR-
Cephalexin* or Cefadroxil*: Adults, 2.0 g (children, 50 mg/kg)

*Orally one hour before procedure.

-OR-
Azithromycin or Clarithromycin: Adults, 500 mg (children, 15 mg/kg)

*Orally one hour before procedure.

 

IV. Amoxicillin/ampicillin/penicillin-allergic patients unable to take oral medications:
Clindamycin: Adults, 600 mg (children, 20 mg/kg)

*IV within 30 minutes before procedure.

-OR-
Cefazolin: Adults, 1.0 g (children, 25 mg/kg)

*IM or IV within 30 minutes before procedure.

***Cephalosporins should not be used in patients with immediate-type hypersensitivity reaction to penicillins.

 


Prophylactic Regimens for Genitourinary/Gastrointestinal Procedures. Total children's dose should not exceed adult dose.

I. High-risk patients:
Ampicillin plus gentamicin: Ampicillin (adults, 2.0 g; children, 50 mg/kg) plus gentamicin 1.5 mg/kg (for both adults and children, not to exceed 120 mg)

*IM or IV within 30 minutes before starting procedure.

6 hours later, ampicillin (adults, 1 g; children, 25 mg/kg)

*IM or IV.

-OR-

Amoxicillin (adults, 1.0 g; children, 25 mg/kg)

*Given orally.

 

II. High-risk patients allergic to ampicillin/amoxicillin:
Vancomycin plus gentamicin: Vancomycin (adults, 1.0 g; children, 20 mg/kg)

*IV over 1-2 hours, plus gentamicin 1.5 mg/kg (for both adults and children, not to exceed 120 mg)

*IM or IV. Complete injection/infusion within 30 minutes before starting procedure.

 

III. Moderate-risk patients:
Amoxicillin: Adults, 2.0 g (children, 50 mg/kg)

*Given orally one hour before procedure.

-OR-

Ampicillin: Adults, 2.0 g (children, 50 mg/kg)

*IM or IV within 30 minutes before starting procedure.

 

IV. Moderate-risk patients allergic to ampicillin/amoxicillin:
Vancomycin: Adults, 1.0 g (children, 20 mg/kg)

*Over 1-2 hours. Complete infusion within 30 minutes of starting the procedure.

NOTE: For patients already taking an antibiotic, or for other special situations, please refer to the full statement referenced below.

 

לבריאות!! ד"ר הופמן