Post Cesarean infections include Staph aureus other staphylococci, streptococci and enterobacteriaceae. Cefazolin 2 gm IV or Cefmetazole 2 gm IV Highest risk factor is ruptured membranes which allows vaginal organisms to be drawn into the uterus between contractions. Administration of prophylactic antibiotics should not be adminis-tered until the cord is clamped to decrease the risk to fetus. Cefmetazole is needed for Bacteroides fragilis coverage if the uterus may be contaminated by vaginal contents. For penicillin allergic patients.
Some clinicians use clindamycin in penicillin- allergic patients.
Hip fractures have a high incidence of morbidity with wound infections. Use vancomycin only for severe penicillin allergy. Some clinicians use clindamycin in penicillin- allergic patients. The most important measure for prevention of sepsis secondary to TURP is assuring that urine is sterile at the time of surgery. If urine is sterile the role of perioperative prophylaxis is probably of marginal benefit.