Otolaryngology

Otolaryngology

Head and neck/ sinus

Likely pathogens: Mixed aerobic and anaerobic upper respiratory tract flora

amoxicillin+clavulanic acid

HML Sched NZF PML noids

IV 1 g/200 mg

Mild penicillin allergy

cefazolin

HML Sched NZF PML noids

IV 2 g

(IV 3 g in patients ≥ 120 kg body weight)

AND

metronidazole

HML Sched NZF PML noids

IV 500 mg

Severe penicillin allergy

clindamycin

HML Sched NZF PML noids

IV 900 mg

Rhinoplasty

Likely pathogens: Staphylococcus aureus

cefazolin

HML Sched NZF PML noids

IV 2 g

(IV 3 g in patients ≥ 120 kg body weight)

Severe penicillin allergy

vancomycin

HML Sched NZF PML noids

1 g (< 70 kg), 1.5 g (70-100 kg), or 2 g (> 100 kg)

Must be given diluted (1 g in at least 200 mL) and slowly (≤ 1000 mg/hour) to minimise infusion reactions.

Topic Code: 99277