Antibiotic prophylaxis for paediatric cardiothoracic surgery

What's New

Since the last iteration of this guidance, the main change is the addition of urological surgery which inludes post-operative advice.


General principals for prescribing:

  • Administer the pre-operative IV prophylaxis dose within 60 minutes prior to skin incision/intervention.
  • Administer antibiotic doses intravenously and NOT into the cardiac bypass circuit.
  • To reduce the risk of post-operative drug errors, prescribe antibiotics on the 'Once Only' section of the drug kardex and also on the anaesthetic record.
  • Seek Microbiology or ID opinion for patients on existing antimicrobial therapy or with complex microbiological problems.
  • Follow RHC Glasgow monographs for drug reconstitution and administration.
Editorial Information

Last reviewed: 01 May 2017

Next review: 31 May 2019

Author(s): Greater Glasgow & Clyde Antimicrobial Utilisation Committee

Approved By: Clinical Effectiveness