Caesarean Delivery
Clindamycin

Clindamycin

High
Excellent

Dosing

General Information

Anaerobic infections above the diaphragm, especially dental infection.

Severe Gram positive skin and soft tissue infections including necrotizing fasciitis as an adjunctive agent to a beta lactam for reducing toxin production.

Skin & soft tissue infections involving susceptible MRSA. Do not use empirically for SSTI due to increased resistance of staphylococcal species to clindamycin (see antibiogram).

Susceptible infections and surgical prophylaxis in setting of IgE mediated beta-lactam allergy, when cefazolin or vancomycin is not an option.

For decreasing toxin production in toxic shock syndrome.

  • None specific
  • Monitor for diarrhea

High Risk of clostridium difficile infection

  • Muscle relaxants, e.g., atracurium, baclofen, diazepam.
  • St. Johns Wort

Antimicrobial class: Lincosamide

Pregnancy category: B

Average serum half life: 2.4 hours

Urine penetration: Poor

Lung penetration: Therapeutic

CSF penetration: Poor

Biliary penetration: Therapeutic