Tethered Cord Evaluation and Perioperative Management Clinical Pathway: Inpatient and Primary Care, Periacetabular Osteotomy (PAO) Clinical Pathway: Inpatient

Tethered Cord Evaluation and Perioperative Management Clinical Pathway: Inpatient and Primary Care, Periacetabular Osteotomy (PAO) Clinical Pathway: Inpatient

Perioperative Antibiotic Prophylaxis

  • The need for perioperative antibiotic prophylaxis is based on the type of procedure and whether or not the child is receiving scheduled antibiotic treatment (e.g., not prophylaxis) to continue through the procedure
  • The first dose of preoperative antibiotics should be completed by bolus or intravenous infusion no earlier than 60 minutes before incision .
General Information About Perioperative Antibiotics Perioperative Antibiotic Prophylaxis Guidelines
Perioperative Antibiotic Recommendations Antibiotic Prophylaxis by Surgical Procedure
Non-OR Procedural Units IR Cath Lab Antibiotic Recommendations Antibiotic Prophylaxis for Non-operating Room Procedural Units
Dosing Recommendations Dosing for Perioperative Prophylactic Antibiotic Therapy
Receiving Antibiotic Treatment
(e.g., Not Prophylaxis) to Continue Through Surgical Procedure
  • Ensure the antibiotic regimen covers likely surgical site infection pathogens. Contact Antimicrobial Stewardship or Infectious Diseases with questions.
  • Current dosing intervals should be maintained throughout the procedure.
  • Do not give an additional dose of scheduled antibiotics before incision to prevent overdosing.
Post-operative Antibiotics
  • Antibiotic prophylaxis after wound closure is rarely indicated
    (See Post-operative Antibiotic Prophylaxis)
  • If continuing antibiotics post-op, order and time (or re-time) from last dose given in the OR and continue for no more than 24 hrs for most procedures

Subacute Bacterial Endocarditis (SBE) Prophylaxis

For children who are at high risk, refer to Pre-procedural Antibiotic Prophylaxis for SBE.