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Urological

Most procedures

Urine should be sterile. If bacteria are present, treat pre-operatively according to susceptibilities.

gentamicin

HMLSchedNZFPMLnoids

IV 3 to 5 mg/kg ideal body weight

 

AND, if indicated (e.g. bowel surgery)

metronidazole

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IV 500 mg

 

Transrectal ultrasound-guided prostate biopsy

ertapenem

HMLNZFnoids

IM 1 g, 15–30 minutes pre-procedure

 

Alternative regimen

ciprofloxacin

HMLSchedNZFPMLnoids

PO 500 mg (two doses), 30–120 minutes pre-procedure and repeated 12 hours later

 

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Topic Code: 99279