ProcedureLikely organismsRecommended antibiotic*Adult dose
CutaneousStaphylococcus aureus, Staphylococcus epidermidisNo uniform recommendation§
Head and neckS. aureus, streptococciCefazolin (Ancef, Kefzol)1 to 2 g intravenously
NeurosurgeryS. aureus, S. epidermidisCefazolin1 to 2 g intravenously
ThoracicS. aureus, S. epidermidisCefazolin1 to 2 g intravenously
CardiacS. aureus, S. epidermidisCefazolin1 to 2 g intravenously
Abdominal
GastroduodenalGram-positive cocci, enteric gram-negative bacilliHigh risk: cefazolin1 to 2 g intravenously
ColorectalEnteric gram-negative bacilli, anaerobesOral: neomycin (Neosporin) and erythromycin base1 g orally (3 doses)#
Parenteral: cefotetan (Cefotan) or cefoxitin (Mefoxin)1 to 2 g intravenously
AppendectomyEnteric gram-negative bacilli, anaerobesCefotetan or cefoxitin1 to 2 g intravenously
BiliaryEnteric gram-negative bacilliHigh risk: cefazolin1 to 2 g intravenously
Gynecologic and obstetricEnteric gram-negative bacilli, group B streptococcus, anaerobesCefazolin**1 to 2 g intravenously
UrologicS. aureus, enteric gram-negative bacilliCefazolin††1 to 2 g intravenously
OrthopedicS. aureus, S. epidermidisCefazolin1 to 2 g intravenously
Noncardiac vascularS. aureus, S. epidermidis, enteric gram-negative bacilliCefazolin1 to 2 g intravenously
Breast and herniaS. aureus, S. epidermidisHigh risk: cefazolin‡‡1 to 2 g intravenously