Cefuroxime IV 1.5g

OR

Flucloxacillin IV 1g + Gentamicin IV as per Gentamicin prophylactic dosing table.

If penicillin allergy: Teicoplanin IV 400mg + Gentamicin IV as per Gentamicin prophylactic dosing table.

*Include antibiotic impregnated cement.

Not recommended

Not recommended

Not routinely recommended. If previous implant, e.g. anterior cruciate ligament reconstruction, prophylaxis as per arthroplasty.

Open fracture

Open reduction

Internal fixation

Hemiarthroplasty*

Flucloxacillin IV 1g + Gentamicin IV as per Gentamicin prophylactic dosing table.

OR

Cefuroxime IV 1.5g

If penicillin allergy: Teicoplanin IV 400mg + Gentamicin IV as per Gentamicin prophylactic dosing table.

*Include antibiotic impregnated cement.

Contaminated hand trauma (without bite) incision and drainage**

Flucloxacillin IV 2g four times daily

If penicillin allergy: Vancomycin IV (as per treatment guidelines)

**Treatment NOT prophylaxis. Assess severity and follow NHS Ayrshire & Arran infection management guidelines. Remember appropriate IV to oral switch and minimum 7 days in total.

Contaminated hand trauma (with human or animal bite) incision and drainage**

Co-amoxiclav IV 1.2g three times daily

If penicillin allergy: Metronidazole IV 500mg / oral 400mg three times daily and Doxycycline oral 200mg on day one, 100mg twice daily thereafter.

**Treatment NOT prophylaxis. Assess severity and follow NHS Ayrshire & Arran infection management guidelines. Remember appropriate IV to oral switch and minimum 7 days in total.