Table 3: Published Dosing and Timing of Antibiotic Agents used for Surgical Prophylaxis.
Antibiotic agent Pediatric intravenous (a) Infusion time (minutes) Timing of first Intraoperative redosing for normal renal function
Ampicillin/Sulbactam DOSE DULT DOSE50 mg/kg (1.5 ‐ 3 gm) 30 DOSE Begin 60 min or less before Every 3 hrs
Cefazolin 25 mg/kg (max 1 gm; if greater than 80 kg, use 2 gm) 30 incision Begin 60 min or less before incision Every 4 hrs
Cefoxitin 40 mg/kg (1‐2 gm) 30 Begin 60 min or less before Every 3 hrs
Cefepime 50mg/kg (1‐2 gm) 30 incision Begin 60 min or less before Every 4 hrs
Clindamycin 10 mg/kg (600‐900 mg) 30 incision Begin 60 min or less before Every 6 hrs
Gentamicin 2.5 mg/kg (120 mg if > 80 kg) 30 incision Begin 60 min or less before Every 8 hrs
Metronidazole 10 mg/kg (500 mg) 30 incision Begin 60 min or less before Every 6 hrs
Vancomycin 15 mg/kg (1 gm if > 50 kg) 60 incision Begin 60 to 120 min before incision Every 12 hrs