Procedure First choice Alternate Allergic Alternate
Biliary Drainage Zosyn 4.5 gm IVPB Unasyn 3 gm IVP PCN allergy: Clinamycin 600mg IVPB Aztreonam 1gm IVPB
Percutaneous cholangiogram Zosyn 4.5 gm IVPB
Liver Biopsy in transplant Zosyn 4.5 gm IVPB Unasyn 3 gm IVP
Nephrostomy (PCN) Levaquin 500 mg IVPB
Abscess Drain Based on clinical picture
Gastrostomy Cefazolin 1 gm IVPB PCN allergy: Clinamycin 600mg IVPB
Jejunostomy Cefazolin 1 gm IVPB

ANTIBIOTIC PROPHYLAXIS: VASCULAR PERCUTANEOUS INTERVENTION

Procedure First Choice Alternate Allergic Alternate
Stent: Arterial or Venous None
Angioplasty: Arterial or Venous None
Embolization: Liver, Spleen, Colon, small bowel Zosyn 4.5 gm IVPB

(Pippercillin/Tazobactam)if risk factors for Gram(-) resistance

 Unasyn 3 gm IVPB Clinamycin 6oomg IVPB

Aztreonam 1 gm IVPB
Embolization: Uterine Fibroid Clinamycin 6oomg IVPB

Gentamycin 80 mg IVPB

 Unasyn 3 gm IVPB Clinamycin 6oomg IVPB

Aztreonam 1 gm IVPB
Embolization: Kidney Depends on presence of UTI. UTI treat with Levaquin 500 mg IVPB
Embolization: pelvis, external carotid, bronchial artery None
Thrombectomy: dialysis Graft None
Prolonged TPA infusion/lysis None
Vein Ablation None
Venous Access: Port, Tunneled Catheter (Permacath, hickman, trifusion). Tunneled PICC Cefazolin 1 gm IVPB PCN allergy: Vancomycin 1 GM IVPB
TIPS Unasyn 3 gm IVPB Zosyn 4.5 gm IVPB PCN allergy: Levaquin 500mg IVPB
PICC None