After you have a total knee or total hip replacement, it is important that your other doctors know that you have a total joint. replacement.

Certain medical procedures can cause bacteria [germs] to enter your bloodstream.  Without these antibiotics, the bacteria can make their way to your total joint and cause a bad infection.

This sheet will tell other doctors what kind of antibiotics you would need.

ANTIBIOTICS SHOULD BE USED FOR:

all dental procedures, including cleaning

colonscopy, endoscopy, or urology procedures...basically, any procedure where a doctor puts a tube into an existing opening on your body

any lung infections

any other serious infection on your skin, or anywhere else on your body.

FOR DENTAL, ORAL, OR UPPER RESPIRATORY TRACT PROCEDURES :

Amoxicillin 3 grams orally one hour before procedure, then 1.5 grams orally 6 hours after the first dose  OR

Erythromycin ethylsuccinate orally 800 mg 2 hours before procedure, 400 mg 6 hours after the first dose OR

Erythromycin stearate orally 1 gram 2 hours before procedure, 500 mg 6 hours after first dose OR

Cleocin 300 mg orally 1 hour before procedure, 150 mg 6 hours after first dose

FOR GASTRO-INTESTINAL OR GENITO-URINARY PROCEDURES :

Ampicillin 2 grams iv or im 30 minutes before procedure, repeat same dose 8 hours after first dose  PLUS Gentamicin 1.5 mg/Kg [no more than 80 mg Gentamicin] iv or im 30 minutes before procedure.....

It is ok to give Amoxicillin 1.5 grams orally 6 hours after initial doses, if patient is not a hospital inpatient.

Alternate low-risk regimen is Amoxicillin 3 grams orally 1 hour before procedure, then 1.5 grams 6 hours after first dose

IF ALLERGIC TO PENICILLIN / AMOXICILLIN / AMPICILLIN :

Vancomycin 1 gram iv over 1 hour, plus Gentamicin 1.5 mg/Kg [not over 80 mg], one hour before procedure.  Repeat the dose of both drugs 8 hours after the initial dose.

IV RECOMMENDATIONS - 2009