Pneumonectomy

Common Pathogens

S. aureus
Coagulase negative Staphylococcus (CoNS)
Streptococcus spp
Enterobacteriaceae
Oral anaerobes


Regimen(s) of Choice
See General Principles and Pre-Op Antibiotic Administration and Intraoperative Antibiotic Administration
Cefazolin 2g IV x 1 pre-op dose
or    
Cefuroxime 1.5g IV x 1 pre-op dose

Alternative Regimens if allergy to cefazolin, or severe non-IgE-mediated reaction to any β-lactam (interstitial nephritis, hepatitis, hemolytic anemia, serum sickness, severe cutaneous reactions [e.g. SJS, TEN, DRESS])
[Vancomycin 15mg/kg IV x 1 pre-op dose
or    
Clindamycin] 600mg IV x 1 pre-op dose
+/-    
Gentamicin 5mg/kg IV x 1 pre-op dose