Urodynamic studies
and:
neurogenic bladder
bladder outlet obstruction
elevated residual volume
> 70 yrs old
immunodeficiency/chronic corticosteroid use
chronic urinary catheterization
Note: If positive urine culture pre-operatively, institute treatment according to culture and susceptibility results.
| Regimen(s) of Choice See General Principles and Pre-Op Antibiotic Administration and Intraoperative Antibiotic Administration | ||
|---|---|---|
| Oral regimens: (give 1-2h pre-op) | ||
| Co-trimoxazole | 1 DS tablet PO | x 1 pre-op dose |
| Alternative: | ||
| Ciprofloxacin | 500mg PO | 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]) | ||
|---|---|---|
| Oral regimens: (give 1-2h pre-op) | ||
| Co-trimoxazole | 1 DS tablet PO | x 1 pre-op dose |
| Alternative: | ||
| Ciprofloxacin | 500mg PO | x 1 pre-op dose |