Please confirm antibiotic preference with surgeon prior to surgery
Preference is for antibiotic to be given as patient is wheeled back by anesthesia
The patient should receive the appropriate pre-operative dose of antibiotics for surgical prophylaxis within 60 minutes prior to incision (120 min for vancomycin and fluoroquinolones)
The patient has a history of MRSA please opt for vancomycin over clindamycin when given the option
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Berrios-Torres SI, Umscheid CA, et. Al. Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. JAMA Surg. 2017;152(8):784-79.
Tunkel AR, Hasbun R, et. Al. 2017 Infectiuos Diseases Society of America’s Clinical Practice Guidelines for Healthcare-Associated Ventriculitis and Meningitis. Clin Infect Dis. 2017;64:e34-e65).
Fried HI, Nathan BR, et. Al. The Insertion and Management of External Ventricular Drains: An Evidence-Based Consensus Statement, A Statement for Healthcare Professionals from the Neurocritical Care Society. Neurocrit Care. 2016;24:61-81.