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General Surgery
 
Please read the following guidance for patients with myasthenia gravis
 
Single dose on induction​​
Procedure
Recommendation
Penicillin allergy
MRSA colonised
(current or previous)
Colorectal, small bowel surgery
Appendectomy
Open biliary surgery
Open pancreatic surgery
Cefuroxime 1.5g IV
and
Metronidazole 500mg  IV
 
Levofloxacin 500mg IV
and
Metronidazole 500mg IV
 
Laparoscopic cholecystectomy
Antibiotic prophylaxis not recommended
Hernia repair
(with mesh)
 
Co-amoxiclav 1.2g IV
Teicoplanin 1.2g IV
and
Gentamicin 160mg IV
Teicoplanin 1.2g IV
and
Gentamicin 160mg IV
Hernia repair
(no mesh)
Antibiotic prophylaxis not recommended