SCIP Antibiotics Selection Table

Surgical Procedure	Required Antibiotic	Penicillin Allergy
COLON/BOWEL SURGERY	Cefoxitin OR Ertapenem OR Unasyn	Flagyl & Gentamicin OR Flagyl & Ciprofloxacin OR Clindamycin & Gentamicin OR Clindamycin & Ciprofloxacin
PEG PLACEMENT/ REVISION	Cefazolin OR Cefoxitin	Clindamycin & Gentamicin OR Clindamycin & Ciprofloxacin
SPINE, ORTHO, PODIATRY, NEURO, CABG, Pacemaker, AICD, other CARDIAC & VASCULAR SURGERY	Cefazolin OR Vancomycin*	Clindamycin OR Vancomycin*
HYSTERECTOMY ABDOMINAL/VAGINAL	Cefoxitin OR Cefazolin OR Unasyn	Flagyl & Gentamicin OR Flagyl & Ciprofloxacin OR Clindamycin & Gentamicin OR Clindamycin & Ciprofloxacin
ABDOMINAL/VAGINAL HYSTERECTOMY WITH COLON SURGERY	Cefoxitin OR Unasyn OR Ertapenem	Flagyl & Gentamicin OR Flagyl & Ciprofloxacin OR Clindamycin & Gentamicin OR Clindamycin & Ciprofloxacin
HIP & KNEE ARTHROPLASTY	Cefaxolin OR Vancomycin*	Vancomycin* OR Clindamycin
HEAD & NECK	Cefazolin	Vancomycin* OR Clindamycin +/- Gentamicin
PROSTATE BIOPSY	Cefoxitin	Ciprofloxacin OR Flagyl & Gentamicin OR Clindamycin & Gentamicin
PENILE PROSTHESIS	Cefazolin & Gentamicin	Clindamycin & Gentamicin

*VANCOMYCIN DOCUMENTATION CRITERIA

Use of Vancomycin for surgical prophylaxis requires MD, NP or PA documentation of one or more of the following reasons before surgery start.
These reasons are listed on the Surgical Required Elements (Green Sheet). By checking one or more of these boxes on the green sheet before surgery start, the pre-operative documentation requirement is met.

Beta-lactam/PCN allergy
Increased MRSA rate facility-wide or operation-specific
MRSA infection or colonization or positive screen or history
Valve surgery on O.R. consent
Chronic wound care or dialysis

ORAL antibiotics are only acceptable for Prostate Biopsy & Pubovaginal Sling