Case and Antibiotic List.Xlsx

Home , Anal sphincterotomy, Bursectomy, Cervical cerclage, Cervical conization, Heller myotomy, Hemipelvectomy

Revision 7/24/2019

Procedure Primary Antibiotic Secondary Antibiotic Abdominal Aortic Aneurysm By/Endo Stent Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Abdominal Aortic Aneurysm Bypass Graft Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Abdominal Biopsy Ask Proceduralist if Necessary Abdominal Exploration/Revision Cefazolin + Flagyl Clindamycin + Aztreonam Abdominal Fistula Tractotomy Cefazolin + Flagyl Clindamycin + Aztreonam Abdominal Fistula Tractotomy Lap Cefazolin + Flagyl Clindamycin + Aztreonam Abdominal I&D Cefazolin + Flagyl Clindamycin + Aztreonam Abdominal I&D w/Wound Vac Cefazolin + Flagyl Clindamycin + Aztreonam Abdominal Mass/Soft Tissue Excision Ask Proceduralist if Necessary Abdominal Mesh Removal Cefazolin + Flagyl Vancomycin + Aztreonam Abdominal Perineal Resection Cefazolin + Flagyl Vancomycin + Aztreonam Abdominal Wall Reconstruction Cefazolin + Flagyl Clindamycin + Aztreonam Abdominal Wall Resection Cefazolin Vancomycin Abdominoplasty Cefazolin Vancomycin Abdominosacrocolpopexy Abdominal Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin ACE Procedure Ask Proceduralist if Necessary Acetabulum Radical Resection Ask Proceduralist if Necessary Achilles Tendon Debridement Ask Proceduralist if Necessary Achilles Tendon Lengthening Ask Proceduralist if Necessary Achilles Tendon Repair Ask Proceduralist if Necessary Achilles Tenotomy Percutaneous Ask Proceduralist if Necessary Acid Reflux Study/24hr pH None Indicated None Indicated ACL Reconstruction Arthroscopic Ask Proceduralist if Necessary ACL Repair Ask Proceduralist if Necessary Acoustic Neuroma Resection Cefazolin, Add Vanc if MRSA Risk Vancomycin Acrochordon Excision Cefazolin, Add Vanc if MRSA Risk Vancomycin Acrominoplasty/Distal Clavicle Repair Ask Proceduralist if Necessary Adenoidectomy Ask Proceduralist if Necessary Adenoidectomy/Myringotomy w/Tubes Ask Proceduralist if Necessary Adjacent Tissue Transfer Ask Proceduralist if Necessary Adrenalectomy Cefazolin Vancomycin AICD Laser Lead Extraction Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam ALT Free Flap Cefazolin Vancomycin + Gent (if eGFR>50) or Aztreonam Alveoloplasty Cefazolin Clindamycin Amputation Ray/Syne/Transmetatarsal None Indicated None Indicated Anal Biopsy Ask Proceduralist if Necessary Anal Dilation/Stent Ask Proceduralist if Necessary Anal Sphincterotomy Ask Proceduralist if Necessary Anes Procedure Ask Proceduralist if Necessary Angioplasty Ask Proceduralist if Necessary Ankle Arthroscopy None Indicated None Indicated Ankle Biopsy Saucerization Ask Proceduralist if Necessary Ankle External Fixation Application Cefazolin, Add Vanc if MRSA Risk Vancomycin Ankle Fusion Ask Proceduralist if Necessary Ankle Fusion Endoscopic Ask Proceduralist if Necessary Ankle Fusion Subtalar Ask Proceduralist if Necessary Ankle Hardware Removal Ask Proceduralist if Necessary Ankle Lateral Ligament Repair Ask Proceduralist if Necessary Ankle Loose Body Removal Ask Proceduralist if Necessary Ankle ORIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Ankle Saucerization Ask Proceduralist if Necessary Ankle Tendon Transfer Ask Proceduralist if Necessary Ankle Total Replacement Cefazolin, Add Vanc if MRSA Risk Vancomycin Ankle Triple Arthrodesis Ask Proceduralist if Necessary Ankle/Foot OCD Drilling Ask Proceduralist if Necessary Anomalous Coronary Artery Repair Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Anoplasty Ask Proceduralist if Necessary Anoscopy None Indicated None Indicated Anterior Chamber Washout None Indicated None Indicated Anterior Segment Wound Revision None Indicated None Indicated Anterior Skull Base Resection Cefazolin, Add Vanc if MRSA Risk Vancomycin Aorta Coarctation Excision Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Aorta/Fem/Pop Bypass Graft Cefazolin Vancomycin Aorta/Iliac/Fem/Pop Thrombectomy Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Aortic Aneurysm Repair Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Aortic Arch Replacement Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Aortic Endarterectomy Cefazolin Vancomycin Aortic Endo Stent Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Aorto‐Femoral Bypass Graft Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Aortogram/Arteriogram Ask Proceduralist if Necessary Aorto‐iliac Bypass Graft Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Aortovisceral Debranching Bypass Graft Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Appendectomy Cefazolin + Flagyl Clindamycin + Aztreonam Application Bilaminate Skin Substitute Cefazolin Vancomycin Aqueous Shunt Implantation None Indicated None Indicated Aqueous Shunt Revision None Indicated None Indicated Revision 7/24/2019

Arm Amputation Cefazolin Vancomycin Arm Amputation/Disarticulation Cefazolin Vancomycin Arm Mass Excision None Indicated None Indicated Arm ORIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Arm Soft Tissue Resection None Indicated None Indicated Artifical Urinary Sphincter Removal Cefazolin Vancomycin Artificial Urinary Sphincter Insertion Vancomycin + Gentamicin Ask Proceduralist Ascending Aneurysm Repair/Ross Procedure Cefuroxime, Add Vanc if MRSA Risk Clindamycin or Vancomycin Aspiration Abscess/Hematoma/Cyst None Indicated None Indicated Atrial Ablation Ask Proceduralist if Necessary Atrial Ablation Convert Procedure Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Atrial Myxoma Excision Robotic Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Atrial Myxoma Resection Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Atrial Septal Defect Repair Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Atrial Septal Defect Repair Robotic Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam AV Fistula ‐ Lower Extremity Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision AV Fistula ‐ Upper Extremity Not Indicated Not Indicated AVR Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Axilla Hidradentitis Excision Cefazolin Vancomycin Axillary Aneurysm Repair Cefazolin Vancomycin Axillary Dissection Cefazolin Vancomycin Axillary Lymph Node Biopsy None Indicated None Indicated Axillary‐Axillary Bypass Graft Cefazolin Vancomycin Axillary‐Brachial Bypass Graft Cefazolin Vancomycin Axillary‐Femoral Bypass Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Axillary‐Popliteal Bypass Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Axillo‐Bifemoral Bypass Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Back I&D Cefazolin Vancomycin Back Mass/Soft Tissue Excision Ask Proceduralist if Necessary Back/Flank/Radical Excision Soft Tissue Mass None Indicated None Indicated BAHA Ear Implant None Indicated None Indicated Barium Swallow Modified None Indicated None Indicated Bartholin Gland I&D None Indicated None Indicated Bartholin's Cyst Marsupialization None Indicated None Indicated Bartholin's Gland or Cyst Excision None Indicated None Indicated Basilic Vein Transposition Cefazolin Vancomycin Biceps Repair Distal Open None Indicated None Indicated Biceps Tendon Repair None Indicated None Indicated Biceps Tenotomy None Indicated None Indicated Bile Duct Reconstruction Cefazolin + Flagyl Vancomycin + Aztreonam Bile Duct Resection Cefazolin + Flagyl Vancomycin + Aztreonam Bile Duct Tumor Excision Cefazolin + Flagyl Vancomycin + Aztreonam Biliary Exploration Cefazolin + Flagyl Vancomycin + Aztreonam Bladder Augmentation Cefazolin Clindamycin + Gentamicin Bladder Diverticulum Excision Cefazolin Clindamycin + Gentamicin Bladder Neck Closure Cefazolin Clindamycin + Gentamicin Blepharoplasty Cefazolin Vancomycin Blepharoptosis Rpr LevatorResectExtApp Cefazolin (+ Vanc for Implants) Clindamycin Block Celiac Plexus None Indicated None Indicated Block Lumbar Facet None Indicated None Indicated Block Lumbar Sympathetic None Indicated None Indicated Block Nerve Root None Indicated None Indicated Block Stellate Ganglion None Indicated None Indicated Blood Patch None Indicated None Indicated Boari Flap Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Body Lift Lower None Indicated None Indicated Bone Anchored Hearing Aid Insertion Cefazolin (+ Vanc for Implants) Vancomycin Bone Anchored Hearing Aid Removal None Indicated None Indicated Bone Biopsy Open None Indicated None Indicated Bone Biopsy Radius/ulna/hand None Indicated None Indicated Bone Biopsy Trocar or Needle None Indicated None Indicated Bone Marrow Harvest Ask Proceduralist if Necessary Bone Spur Excision None Indicated None Indicated Botox Injection None Indicated None Indicated Brachial Artery Repair Cefazolin Vancomycin Brachial Carotid Bypass Cefazolin Vancomycin Brachial Plexus Block None Indicated None Indicated Brachial Plexus Neuroplasty Cefazolin, Add Vanc if MRSA Risk Vancomycin Brachial‐Brachial Bypass Graft Cefazolin Vancomycin Brachioplasty Cefazolin Vancomycin Brachytherapy HDR Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Brain Biopsy Craniotomy Cefazolin, Add Vanc if MRSA Risk Vancomycin Brain Endoscopy Cefazolin, Add Vanc if MRSA Risk Vancomycin Branchial Cleft Cyst Excision OTO Cefazolin Clindamycin Breast Augmentation Cefazolin Vancomycin Breast Biopsy None Indicated None Indicated Breast Biopsy Dye/Wire None Indicated None Indicated Revision 7/24/2019

Breast Biopsy/Sentinel Node Biopsy Cefazolin Vancomycin Breast Capsulotomy Cefazolin Vancomycin Breast Capsulotomy w/Implant Exchange Cefazolin Vancomycin Breast I&D Ask Proceduralist if Necessary Breast I&D w/Flap Closure Ask Proceduralist if Necessary Breast Implant Exchange Cefazolin Vancomycin Breast Implant Insertion Cefazolin Vancomycin Breast Implant Removal Cefazolin Vancomycin Breast Intraoperative Radiation Therapy Cefazolin Vancomycin Breast Lumpectomy Cefazolin Vancomycin Breast Lumpectomy w/Sentinel Node Biopsy Cefazolin Vancomycin Breast Neurofibroma Excision Cefazolin Vancomycin Breast Nipple Exploration Cefazolin Vancomycin Breast Periprosthetic Capsulectomy Cefazolin Vancomycin Breast Recon Latissimus Free Flap Cefazolin Vancomycin Breast Recons w/Expander/Implant Cefazolin Vancomycin Breast Reconstruction Latissimus Flap Cefazolin Vancomycin Breast Reconstruction Revision Cefazolin Vancomycin Breast Reduction Cefazolin Vancomycin Bronch w/Dilation w/woFluoro None Indicated None Indicated Bronch w/EM Navigation/Superdimension None Indicated None Indicated Bronch w/Excis Tumor w/wo Fluoro None Indicated None Indicated Bronchial/Tracheal Stent Placement None Indicated None Indicated Bronchial/Tracheal T‐tube Placement None Indicated None Indicated Bronchoscopy None Indicated None Indicated Bronchoscopy w/ tracheal/bronchial dilation None Indicated None Indicated Brostrom Repair None Indicated None Indicated Brow Lift None Indicated None Indicated Brow Lift Endoscopic None Indicated None Indicated Browlift/Facelift Endoscopic Cefazolin Vancomycin Bunionectomy None Indicated None Indicated Bunionectomy Austin None Indicated None Indicated Bunionectomy/Hammertoe Correction None Indicated None Indicated Burr Hole Cefazolin, Add Vanc if MRSA Risk Vancomycin Buttock I&D Cefazolin Vancomycin Buttock Mass/Soft Tissue Excision Cefazolin Vancomycin Buttock Mass/Soft Tissue Excision Cefazolin Vancomycin Buttock Mass/Soft Tissue Rad Exc Cefazolin Vancomycin CABG Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam CABG MIS Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam CABG Robotic Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam CABG Robotic Hybrid Artis Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam CABG w/AVR Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam CABG w/AVR/MVR Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam CABG w/Carotid Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam CABG w/EVH Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam CABG w/TVR Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam CABG/Radial Artery Harvest Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Calcaneal Cyst Excision None Indicated None Indicated Calcaneal ORIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Calcanectomy None Indicated None Indicated Calcaneus Osteotomy None Indicated None Indicated Canaliculi Plastic Repair None Indicated None Indicated Canthoplasty None Indicated None Indicated Capsule Endoscopy None Indicated None Indicated Carotid Aneurysm Repair Cefazolin Vancomycin Carotid Angioplasty w/Stent Cefazolin Vancomycin Carotid Body Tumor Resection Cefazolin Vancomycin Carotid Endarterectomy Cefazolin Vancomycin Carotid Endo Stent Cefazolin Vancomycin Carotid‐Carotid Bypass Graft Cefazolin Vancomycin Carotid‐Subclavian Bypass Cefazolin Vancomycin Carotid‐Subclavian Transposition Cefazolin Vancomycin Carpal Tunnel Release None Indicated None Indicated Carpal Tunnel Release None Indicated None Indicated Carpectomy None Indicated None Indicated Carpometacarpal Arthroplasty None Indicated None Indicated Cartilage Graft None Indicated None Indicated Cartilage Graft None Indicated None Indicated Cataract Extraction None Indicated None Indicated Cataract Extraction w/IOL None Indicated None Indicated Cath AVR Transfemoral Percutaneous Ask Proceduralist if Necessary Caudal ESI None Indicated None Indicated Celiac Plexus Neurolysis None Indicated None Indicated Cephalic Vein Transposition Not Indicated Not Indicated Cerclage Removal None Indicated None Indicated Cerclage Rescue None Indicated None Indicated Revision 7/24/2019

Cervical Biopsy Cold Knife None Indicated None Indicated Cervical Bx Cold Knife/Cone/LEEP None Indicated None Indicated Cervical Cerclage None Indicated None Indicated Cervical Conization None Indicated None Indicated Cervical Conization w/LEEP None Indicated None Indicated Cervical Disc Replacement Cefazolin, Add Vanc if MRSA Risk Vancomycin Cervical Discectomy Anterior Cefazolin, Add Vanc if MRSA Risk Vancomycin Cervical Discectomy/Corpectomy Fusi Ant Cefazolin, Add Vanc if MRSA Risk Vancomycin Cervical ESI None Indicated None Indicated Cervical Facet Block None Indicated None Indicated Cervical Foramen Transversectomy Cefazolin, Add Vanc if MRSA Risk Vancomycin Cervical Foraminotomy Keyhole Cefazolin, Add Vanc if MRSA Risk Vancomycin Cervical Fusion Anterior Cefazolin, Add Vanc if MRSA Risk Vancomycin Cervical Fusion Anterior w/instr Cefazolin, Add Vanc if MRSA Risk Vancomycin Cervical Fusion Posterior Cefazolin, Add Vanc if MRSA Risk Vancomycin Cervical Fusion Posterior w/instr Cefazolin, Add Vanc if MRSA Risk Vancomycin Cervical Hardward Revision/Removal Cefazolin, Add Vanc if MRSA Risk Vancomycin Cervical IL ESI None Indicated None Indicated Cervical Lam Spinal Cord Tumor/Mass/Cyst Cefazolin, Add Vanc if MRSA Risk Vancomycin Cervical Laminectomy Posterior Cefazolin, Add Vanc if MRSA Risk Vancomycin Cervical Laminoplasty Posterior Cefazolin, Add Vanc if MRSA Risk Vancomycin Cervical Laser Ablation None Indicated None Indicated Cervical MBB None Indicated None Indicated Cervical Nerve Root Block None Indicated None Indicated Cervical Node Biopsy None Indicated None Indicated Cervical Node Biopsy OTO None Indicated None Indicated Cervical Polypectomy None Indicated None Indicated Cervical RF None Indicated None Indicated Cervical Transforaminal Injection None Indicated None Indicated Cervix Biopsy or Excision of Lesion None Indicated None Indicated Cervix LEEP None Indicated None Indicated Cesarean Section Cefazolin (+ azithromycin for urgent/emergent ca Clindamycin + Gentamicin (+ azithromycin for urgent/emergent cases) Chalazion Excision None Indicated None Indicated Chamberlain Procedure Cefuroxime, Add Vanc if MRSA Risk Clindamycin or Vancomycin Cheek Mass Excision None Indicated None Indicated Chest Biopsy PLA Cefazolin Vancomycin Chest Exploration/Revision CAR Cefuroxime, Add Vanc if MRSA Risk Clindamycin or Vancomycin Chest Exploration/Revision THO Cefazolin Vancomycin Chest Foreign Body Removal CAR Cefuroxime, Add Vanc if MRSA Risk Clindamycin or Vancomycin Chest I&D Cefuroxime, Add Vanc if MRSA Risk Clindamycin or Vancomycin Chest Tube Placement None Indicated None Indicated Chest Wall Reconstuction w/Muscle Flap None Indicated None Indicated Chest Wall Resection w/Free Flap Cefazolin Vancomycin Chest Wall Resection w/Mesh THO Cefazolin Vancomycin Chest Wall Resection w/Muscle Flap Cefazolin Vancomycin Chest Wound Closure Cefuroxime, Add Vanc if MRSA Risk Clindamycin or Vancomycin Cholecystectomy Cefazolin Clindamycin + Aztreonam Choledochal Cyst Excision Cefazolin + Flagyl Clindamycin + Aztreonam Choledochoduodenostomy Cefazolin + Flagyl Clindamycin + Aztreonam Ciliary Body Destruction Cyclophotocoag None Indicated None Indicated Circumcision None Indicated None Indicated Clavicle ORIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Clavicle Resection Cefazolin Vancomycin Closed Reduction/Manipulation Ask Proceduralist if Necessary Closed Reduction/Manipulation None Indicated None Indicated Coccygectomy None Indicated None Indicated Cochlear Device Implantation Cefazolin Clindamycin Cochlear Device Removal None Indicated None Indicated Colectomy Cefazolin + Flagyl Clindamycin + Aztreonam Colloid Cyst Excision Endoscopic Cefazolin, Add Vanc if MRSA Risk Vancomycin Colon Interposition Cefazolin + Flagyl Clindamycin + Aztreonam Colon Resection Cefazolin + Flagyl Clindamycin + Aztreonam Colon Resection Low AnteriorLaparoscopic Cefazolin + Flagyl Clindamycin + Aztreonam Colonoscopy None Indicated None Indicated Colostomy Cefazolin + Flagyl Clindamycin + Aztreonam Colostomy Closure Laparoscopic Cefazolin + Flagyl Clindamycin + Aztreonam Colostomy Closure/Take Down Cefazolin + Flagyl Clindamycin + Aztreonam Colostomy Laparoscopic Cefazolin + Flagyl Clindamycin + Aztreonam Colostomy Revision Cefazolin + Flagyl Clindamycin + Aztreonam Colostomy Take Down Laparoscopic Cefazolin + Flagyl Clindamycin + Aztreonam Colpocleisis None Indicated None Indicated Colpopexy Ask Proceduralist if Necessary Colpopexy Abdominosacral None Indicated None Indicated Colporrhaphy None Indicated None Indicated Colporrhaphy Anterior Repair Cystocele Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Colporrhaphy Anteroposterior Combined Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Colporrhaphy Posterior Repair Rectocele None Indicated None Indicated Revision 7/24/2019

Common Bile Duct Exploration Cefazolin + Flagyl Clindamycin + Aztreonam Common Femoral Endarterectomy Cefazolin Vancomycin Composite Resection w/Free Flap part 1 Cefazolin Vancomycin Conjunctiva Biopsy None Indicated None Indicated Conjunctiva Lesion Excision w Adjacent Sclera None Indicated None Indicated Conjunctival Lesion Excision None Indicated None Indicated Conjunctivoplasty None Indicated None Indicated Conjunctivoplasty Buccal MucousMembGraft None Indicated None Indicated Conjunctivorhinostomy Insert Tube/Stent None Indicated None Indicated ConstructIntermargAdhesMedTarsorCanthor None Indicated None Indicated Corneal Laceration Repair None Indicated None Indicated Cortisone Injection None Indicated None Indicated Crani w/c1 Laminectomy and Duraplasty Cefazolin, Add Vanc if MRSA Risk Vancomycin Cranial Wound Exploration/Revision Cefazolin, Add Vanc if MRSA Risk Vancomycin Cranial Wound I&D/Washout Cefazolin, Add Vanc if MRSA Risk Vancomycin Craniectomy Cefazolin, Add Vanc if MRSA Risk Vancomycin Craniectomy Arnold‐Chiari Malformation Cefazolin, Add Vanc if MRSA Risk Vancomycin Craniectomy Decompression/Bone Flap Abd Cefazolin, Add Vanc if MRSA Risk Vancomycin Craniofacial Reconstruction Cefazolin, Add Vanc if MRSA Risk Vancomycin Cranioplasty Cefazolin, Add Vanc if MRSA Risk Vancomycin Craniotomy Cefazolin, Add Vanc if MRSA Risk Vancomycin Craniotomy Acoustic Neuroma Cefazolin, Add Vanc if MRSA Risk Vancomycin Craniotomy Aneurysm Cefazolin, Add Vanc if MRSA Risk Vancomycin Craniotomy AVM Cefazolin, Add Vanc if MRSA Risk Vancomycin Craniotomy Brain Path Cefazolin, Add Vanc if MRSA Risk Vancomycin Craniotomy Cavernous Malformation Cefazolin, Add Vanc if MRSA Risk Vancomycin Craniotomy Depth/Strip Electrode Ins Cefazolin, Add Vanc if MRSA Risk Vancomycin Craniotomy Electrode Ins IG Electromag Cefazolin, Add Vanc if MRSA Risk Vancomycin Craniotomy Electrode Placement Cefazolin, Add Vanc if MRSA Risk Vancomycin Craniotomy Grid Electrode Placement Cefazolin, Add Vanc if MRSA Risk Vancomycin Craniotomy Grid Electrode Removal Cefazolin, Add Vanc if MRSA Risk Vancomycin Craniotomy Laser Ablation OR/MRI Cefazolin, Add Vanc if MRSA Risk Vancomycin Craniotomy Microcular Nerve Decompr Cefazolin, Add Vanc if MRSA Risk Vancomycin Craniotomy open MRI Brain Bx/Stealth Cefazolin, Add Vanc if MRSA Risk Vancomycin Craniotomy Resection of Epileptic Foci Cefazolin, Add Vanc if MRSA Risk Vancomycin Craniotomy Stealth Image Guided Cefazolin, Add Vanc if MRSA Risk Vancomycin Craniotomy Subdural Hematoma Cefazolin, Add Vanc if MRSA Risk Vancomycin Craniotomy Suboccipital Cefazolin, Add Vanc if MRSA Risk Vancomycin Craniotomy Temporal Lobectomy Cefazolin, Add Vanc if MRSA Risk Vancomycin Craniotomy Tumor Cefazolin, Add Vanc if MRSA Risk Vancomycin Craniotomy Tumor Axiem Cefazolin, Add Vanc if MRSA Risk Vancomycin Craniotomy/ectomy Suboccipital Cefazolin, Add Vanc if MRSA Risk Vancomycin CSF Leak/Cranial Dural Tear Repair Cefazolin, Add Vanc if MRSA Risk Vancomycin Cubital Tunnel Release None Indicated None Indicated Cyclophotocoagulation Laser None Indicated None Indicated Cystectomy Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Cysto None Indicated None Indicated Cysto Bladder Biopsy Ask Proceduralist if Necessary Cysto Suprapubic Tube Placement Cefazolin Vancomycin Cysto Transurethral Incise Bladder Neck Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Cysto TURP Cefazolin Clindamycin + Gentamicin Cysto Ureteroscopy Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Cystocele & Rectocele Repair Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Cystocele Repair Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Cystolithotomy Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Cystoprostatectomy/Radical/Ileal Conduit Cefazolin + Flagyl Clindamycin + Gentamicin D&C Doxycycline Flagyl D&C/Laparoscopy/Hysteroscopy Doxycycline Flagyl Dacryocystectomy None Indicated None Indicated Dacryocystorhinostomy None Indicated None Indicated DBS IPG Removal Cefazolin, Add Vanc if MRSA Risk Vancomycin DBS IPG Replacement Cefazolin, Add Vanc if MRSA Risk Vancomycin DBS Lead Revision Cefazolin, Add Vanc if MRSA Risk Vancomycin DBS Part 1 Cefazolin, Add Vanc if MRSA Risk Vancomycin DBS part 2 IPG Cefazolin, Add Vanc if MRSA Risk Vancomycin Decortication Cefazolin Vancomycin Decubitus Ulcer Excision w/Flap Cefazolin + Flagyl Vancomycin + Aztreonam + Flagyl Dehiscence Closure Cefazolin (+ Vanc for Implants) Clindamycin Delorme Procedure Ask Proceduralist if Necessary Dental Implantation Cefazolin Clindamycin Depth Electrode Placement Cefazolin, Add Vanc if MRSA Risk Vancomycin + Gentamcin (Clinda and Aztreonam if vanc allergic) Depth/Strip Electrode Removal Cefazolin, Add Vanc if MRSA Risk Vancomycin Dequervains Contracture Release None Indicated None Indicated Dermabrasion None Indicated None Indicated Dermis Fat Graft Cefazolin Vancomycin Diagnostic Chest Ultrasound None Indicated None Indicated Diagnostic Laparoscopy Cefazolin + Flagyl Clindamycin + Aztreonam Revision 7/24/2019

Diaphragm Plication Robotic Cefazolin Vancomycin Diaphragmatic Hernia Robotic Cefazolin Clindamycin + Aztreonam DIEP Free Flap Cefazolin Vancomycin Digit Percutaneous Pinning Cefazolin Vancomycin Dilation Direct‐Instrument Ask Proceduralist if Necessary Disc Decompression Cefazolin, Add Vanc if MRSA Risk Vancomycin Distal Pancreatectomy Cefazolin + Flagyl Clindamycin + Aztreonam Distal Pancreatectomy Laparoscopic Cefazolin + Flagyl Clindamycin + Aztreonam Distal Pancreatectomy Robotic Cefazolin + Flagyl Clindamycin + Aztreonam Distal Revascularization Interval Liga Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Distal Splenorenal Shunt Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Diverticulectomy None Indicated None Indicated Diverticulectomy Robotic Ask Proceduralist if Necessary Diverticulectomy Zenker's Cefazolin + Flagyl Clindamycin Diverticulectomy Zenker's Endoscopy Cefazolin + Flagyl Clindamycin Double Osteotomy None Indicated None Indicated Dressing Change under Anesthesia None Indicated None Indicated Duodenal Resection Cefazolin + Flagyl Clindamycin + Aztreonam Dupuytrens Contracture Release None Indicated None Indicated Ear Bone Anchored Hearing Aid Insertion None Indicated None Indicated Ear Canalolasty None Indicated None Indicated Ear Excision None Indicated None Indicated Ear Foreign Body Removal None Indicated None Indicated Ear Reconstruction None Indicated None Indicated Ear Reconstruction OTO None Indicated None Indicated Earlobe Reconstruction None Indicated None Indicated ECMO Removal Ask Proceduralist if Necessary ecomastia Excision Cefazolin Vancomycin Ectropion Repair None Indicated None Indicated Ectropion Repair/ Lid Ptosis Repair None Indicated None Indicated Ectropion/ Entropion Repair None Indicated None Indicated EGD None Indicated None Indicated EGD‐Tube Placement None Indicated None Indicated Elbow Above I&D Cefazolin Vancomycin Elbow Above ORIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Elbow Arthoplasty Debridement Ask Proceduralist if Necessary Elbow Arthroscopy None Indicated None Indicated Elbow Arthroscopy Debridement Ask Proceduralist if Necessary Elbow Below Amputation Cefazolin Vancomycin Elbow Below Hardward Removal Cefazolin Vancomycin Elbow Below I&D Ask Proceduralist if Necessary Elbow Bone Spur Removal Cefazolin Vancomycin Elbow Bursa Excision None Indicated None Indicated Elbow Fasciotomy/Tennis Elbow Release None Indicated None Indicated Elbow Hardware Removal Cefazolin Vancomycin Elbow I&D Cefazolin Vancomycin Elbow Ligament Repair/Reconstruction None Indicated None Indicated Elbow Loose Body Removal Ask Proceduralist if Necessary Elbow ORIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Elbow Plica Excision None Indicated None Indicated Elbow Radial Head Excision None Indicated None Indicated Elbow Takedown with Radial Head Exchange Cefazolin, Add Vanc if MRSA Risk Vancomycin Elbow Tenotomy Percutaneous None Indicated None Indicated Elbow Total Replacement Cefazolin, Add Vanc if MRSA Risk Vancomycin Electrode Removal Ask Proceduralist if Necessary Embolectomy Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Embolization Hypogastric Artery Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Endometrial Ablation None Indicated None Indicated Endometrial Ablation Hysteroscopic None Indicated None Indicated Endometriosis Resection None Indicated None Indicated Enterostomy Fistula Repair Cefazolin + Flagyl Clindamycin + Aztreonam Entropion Repair None Indicated None Indicated Epicardial Lead Placement Robotic Ask Proceduralist if Necessary Epididymal Sperm Aspiration Microscopy Ask Proceduralist if Necessary Epididymectomy Ask Proceduralist if Necessary Epidural Electrode Placement None Indicated None Indicated Epidural Steroid Injection None Indicated None Indicated Epigastric Hernia Repair Ask Proceduralist if Necessary Epiglottectomy Cefazolin + Flagyl Clindamycin ERCP Ask Proceduralist if Necessary Esophageal Dilatation None Indicated None Indicated Esophagectomy Cefazolin Vancomycin ESWL None Indicated None Indicated Exam Under Anesthesia None Indicated None Indicated Excessive Skin/Subq Tissue Excision None Indicated None Indicated Expansion Pharyngoplasty Cefazolin + Flagyl Clindamycin Exploration/Revision NEU Cefazolin, Add Vanc if MRSA Risk Vancomycin Revision 7/24/2019

Exploratory Laparoscopic Cefazolin + Flagyl Clindamycin + Aztreonam Extensor Tendon Repair Cefazolin Vancomycin External Fixation Application Cefazolin, Add Vanc if MRSA Risk Vancomycin External Fixation Removal None Indicated None Indicated External Fixator arm Cefazolin, Add Vanc if MRSA Risk Vancomycin External Fixator leg Cefazolin, Add Vanc if MRSA Risk Vancomycin Extracap Cat Rmvl w/IOL Compx Amblyognc None Indicated None Indicated Extracapsular Cataract Rmvl Insert IOL None Indicated None Indicated Extraocular Muscle Transposition None Indicated None Indicated Eye Enucleation None Indicated None Indicated Eye Exenteration None Indicated None Indicated Eye Ext Embedded Foreign Body Removal None Indicated None Indicated Eye External/Corneal Foreign Body Remove None Indicated None Indicated Eye Stent Insertion None Indicated None Indicated Eyelid Biopsy None Indicated None Indicated Eyelid Lesion Exc w/w/o Simple Close None Indicated None Indicated Eyelid Recon TarsoConj FlapOppLidLwrStg1 None Indicated None Indicated Eyelid Recon Tarsoconj FlapOppLidStage2 None Indicated None Indicated Eyelid Rep MargTarsConjCanth over 1/4th None Indicated None Indicated Eyelid Rep MargTarsConjCanth up to 1/4th None Indicated None Indicated EyelidReconTarsoconjFlapOppLid2/3LidStg1 None Indicated None Indicated Face Lift None Indicated None Indicated Face/Ear Mass/Soft Tissue Excision Ask Proceduralist if Necessary Facial Mass Excision Transoral Approach None Indicated None Indicated Facial Nerve Repair None Indicated None Indicated Fascia Lata Sling None Indicated None Indicated Fasciotomy Cefazolin Vancomycin Fasciotomy Thigh/Calf Cefazolin Vancomycin Fat Harvest/Injection/Graft None Indicated None Indicated Fat Harvest/Injection/Graft OTO Cefazolin Clindamycin Fecal Disimpaction None Indicated None Indicated Feeding Tube Placement Gastro Perc/EGD Ask Proceduralist if Necessary Femoral Aneurysm Repair Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Femoral Artery Angioplasty Stent Artis Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Femoral Artery Angioplasty w/Stent Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Femoral Dissection Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Femoral Endarterectomy Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Femoral Endo Stent Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Femoral Graft Excision Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Femoral Graft Insertion Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Femoral Graft Revision Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Femoral Neck Pinning Percutaneous Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Femoral Osteotomy w/Internal Lengthener Cefazolin, Add Vanc if MRSA Risk Vancomycin Femoral Peroneal Bypass Graft Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Femoral Profundaplasty Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Femoral Pseudoaneurysm Repair Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Femoral Thrombectomy Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Femoral Thrombectomy/Embolectomy Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Femoral‐Distal Vessel Bypass Graft Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Femoral‐Femoral Artery Bypass Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Fem‐Pop Bypass Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Fem‐Tib Bypass Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Femur Biopsy Saucerization Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Femur IM Rod Cefazolin, Add Vanc if MRSA Risk Vancomycin Femur ORIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Femur ORIFw/IM Rods Cefazolin, Add Vanc if MRSA Risk Vancomycin Femur ORIFw/Plates/Screws Cefazolin, Add Vanc if MRSA Risk Vancomycin Femur Prophylactic Stabilization Cefazolin, Add Vanc if MRSA Risk Vancomycin Femur Radical Resec Distal Prosthe Recon Cefazolin, Add Vanc if MRSA Risk Vancomycin Femur Radical Resection w/Allograft Cefazolin, Add Vanc if MRSA Risk Vancomycin Femur Retrograde Nail Cefazolin, Add Vanc if MRSA Risk Vancomycin Femur Total Replacement Cefazolin, Add Vanc if MRSA Risk Vancomycin Femur/Knee I & D Cefazolin Vancomycin FESS None Indicated None Indicated Fibula Free Flap part 2 Cefazolin Vancomycin Fibula Radical Resection None Indicated None Indicated Fibular Free Flap None Indicated None Indicated Finger A1 Pulley Release None Indicated None Indicated Finger Arthroplasty None Indicated None Indicated Finger CRPP None Indicated None Indicated Finger Excision of Mass None Indicated None Indicated Finger Fusion None Indicated None Indicated Finger I & D None Indicated None Indicated Finger Joint Arthrotomy None Indicated None Indicated Finger Nerve/Tendon Repair None Indicated None Indicated Finger ORIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Finger Percutaneous Pinning None Indicated None Indicated Revision 7/24/2019

Finger Soft Tissue Excision None Indicated None Indicated Finger Trigger Release None Indicated None Indicated Finger/Thumb Amputation None Indicated None Indicated Fistulectomy Ask Proceduralist if Necessary Fistulogram Ask Proceduralist if Necessary Flexor Digitorum Longus Midfoot Transfer None Indicated None Indicated Flexor Tendon Repair None Indicated None Indicated Flexor Tendon Repair None Indicated None Indicated Foot Amputation Ray/Syne None Indicated None Indicated Foot Amputation Ray/Syne/Transmetatarsal None Indicated None Indicated Foot Bone Biopsy None Indicated None Indicated Foot Bone Spur Removal None Indicated None Indicated Foot Cheilectomy None Indicated None Indicated Foot Chevron Osteotomy None Indicated None Indicated Foot Debridement None Indicated None Indicated Foot Excisional Biopsy None Indicated None Indicated Foot Exostectomy None Indicated None Indicated Foot Haglund Excision None Indicated None Indicated Foot Lisfranc Dislocation Repair None Indicated None Indicated Foot Mass/Soft Tissue Excisio None Indicated None Indicated Foot ORIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Foot Ostectomy None Indicated None Indicated Foot Osteotomy Proximal None Indicated None Indicated Foot Percutaneous Pinning Cefazolin, Add Vanc if MRSA Risk Vancomycin Foot/Ankle Closed Reduct/Manipulate None Indicated None Indicated Foot/Ankle Foreign Body Removal None Indicated None Indicated Foot/Ankle I&D Cefazolin Vancomycin Foot/Ankle I&D Ask Proceduralist if Necessary Foot/Ankle Mass/Soft Tissue Excision None Indicated None Indicated Foot/Midtarsal Fusion None Indicated None Indicated Foot/Toe Arthroplasty None Indicated None Indicated Foot/Toe/ Small Bone Procedure None Indicated None Indicated Forehead Flap None Indicated None Indicated Foreign Body Removal Ask Proceduralist if Necessary Foreign Body Removal Ask Proceduralist if Necessary Free Flap part 2 None Indicated None Indicated Free Flap Revision Cefazolin Vancomycin Frenotomy None Indicated None Indicated Frey Procedure Ask Proceduralist if Necessary Frontal Sinus Obliteration None Indicated None Indicated Full Thick Graft/Close Donor/EENL 20cm None Indicated None Indicated Ganglion Cyst Excision None Indicated None Indicated Ganglion Impar Block None Indicated None Indicated Gastrectomy Cefazolin Vancomycin Gastrectomy Laparoscopic Cefazolin Vancomycin Gastrectomy Partial Cefazolin Vancomycin Gastrectomy Partial Laparoscopic Cefazolin Vancomycin Gastrectomy Robotic Cefazolin Vancomycin Gastrectomy Sleeve Laparoscopy Cefazolin Vancomycin Gastric Band Port Revision Cefazolin Vancomycin Gastric Band Removal Laparoscopic Cefazolin Vancomycin Gastric Banding Revision Laparoscopic Cefazolin Vancomycin Gastric Bypass Cefazolin Vancomycin Gastric Bypass Laparoscopic Cefazolin Vancomycin Gastric Bypass Revision Laparoscopic Cefazolin Vancomycin Gastric Bypass Robotic Cefazolin Vancomycin Gastric Feeding Tube Placement Cefazolin + Flagyl Vancomycin + Flagyl Gastric Feeding Tube Placement Lap Cefazolin Vancomycin Gastric Neurostimulator Insertion Cefazolin Vancomycin Gastric Resection Laparoscopic Cefazolin Vancomycin Gastric Restrictive Devise Removal Cefazolin Vancomycin Gastric Sleeve Laparoscopic Cefazolin Vancomycin Gastric Sleeve Robotic Cefazolin Vancomycin Gastric Stimulator Battery Change Cefazolin Vancomycin Gastric Stimulator Laparoscopic Cefazolin Vancomycin Gastro‐cutaneous Fistula Closure Lap Assisted Cefazolin Vancomycin Gastrojejunostomy Cefazolin Vancomycin Gastrojejunostomy Bypass Laparoscopic Cefazolin + Flagyl Vancomycin + Aztreonam Gastrojejunostomy Laparoscopic Cefazolin Vancomycin Gastrojejunostomy Revision w/Reconstruct Cefazolin + Flagyl Clindamycin + Aztreonam Gastrostomy Tube Change Cefazolin Vancomycin Gastrostomy Tube Placement Laparoscopic Cefazolin Vancomycin Genicular Knee Nerve Block None Indicated None Indicated Genicular Knee Nerve RF None Indicated None Indicated GI Anorectal Manometry None Indicated None Indicated GI Colon Hot Bx Forceps Ask Proceduralist if Necessary GI Ileoscopy‐Stoma None Indicated None Indicated Revision 7/24/2019

GI Ileoscopy‐Stoma/Biopsy None Indicated None Indicated GI Paracentesis None Indicated None Indicated GI PEG/Button Replacement Ask Proceduralist if Necessary GI Small Bowel Endo/Hemor Con None Indicated None Indicated GI Small Bowel Endosco/Biopsy None Indicated None Indicated GI Upper Endo Hot Bx Forceps None Indicated None Indicated GI Upper Endo W/Thermal Txmnt None Indicated None Indicated Globe Repair None Indicated None Indicated Glomus Tumor Resection None Indicated None Indicated Glossectomy None Indicated None Indicated Glossectomy w/Free Flap part 1 None Indicated None Indicated Gluteal Augmentation None Indicated None Indicated Gracilis Rotational Flap Cefazolin Vancomycin Graft Removal Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Groin Dissection Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Groin Dissection Laparoscopic Cefazolin + Flagyl Clindamycin + Aztreonam Groin Exploration/Revision Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Groin Exploration/Revision CAR Cefazolin Vancomycin Groin Hidradentitis Excision Cefazolin Vancomycin Groin I&D Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Hallus Rigidus Correction None Indicated None Indicated Hammertoe Correction None Indicated None Indicated Hamstring Repair Cefazolin Vancomycin Hand Dequervains Release None Indicated None Indicated Hand Ganglion Excision None Indicated None Indicated Hand I&D Cefazolin Vancomycin Hand Mass/Soft Tissue Excision None Indicated None Indicated Hand ORIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Hand Percutaneous Pinning Cefazolin Vancomycin Hand Tendon Repair None Indicated None Indicated Hand Tendon Repair None Indicated None Indicated Hand/Finger Joint Reconstruction Cefazolin (+ Vanc for Implants) Vancomycin Hand/Finger ORIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Hand/Finger Tendon Sheath Release None Indicated None Indicated Hand/Finger/Wrist Procedure None Indicated None Indicated Hand/Wrist Mass/Soft Tissue Excision None Indicated None Indicated Hand/Wrist Mass/Soft Tissue Excision None Indicated None Indicated Hardware Removal Deep Cefazolin, Add Vanc if MRSA Risk Vancomycin Hardware Removal Hip Cefazolin, Add Vanc if MRSA Risk Vancomycin Hardware Removal Knee Cefazolin (+ Vanc for Implants) Vancomycin Hardware Removal Superficial None Indicated None Indicated Hardware Revision Cefazolin, Add Vanc if MRSA Risk Clindamycin Hartmann Procedure Cefazolin + Flagyl Vancomycin + Aztreonam + Flagyl Head/Neck Biopsy None Indicated None Indicated Head/Neck Face Scar Revision/Z‐Plasty Cefazolin Vancomycin Head/Neck Free Flap part 1 Cefazolin, ask proceduralist if additional antibioticClindamycin Head/Neck I&D Cefazolin Clindamycin Head/Neck I&D OTO Cefazolin Vancomycin Head/Neck Mass/Soft Tissue Excision ONC Cefazolin Vancomycin Head/Neck Mass/Soft Tissue Excision OTO None Indicated None Indicated Head/Neck Mass/Soft Tissue Excision PLA None Indicated None Indicated Head/Neck Mass/Soft Tissue Excision THO Cefazolin Vancomycin Heart Transplant Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Heller Myotomy Laparoscopic Cefazolin Vancomycin Heller Myotomy Robotic Cefazolin Vancomycin Hemipelvectomy Cefazolin, Add Vanc if MRSA Risk Vancomycin Hemipelvectomy, Internal Cefazolin, Add Vanc if MRSA Risk Vancomycin Hemipelvis Radical Resec Mass/SoftTissue Cefazolin Vancomycin Hemorrhoidectomy Ask Proceduralist if Necessary Hepatectomy Cefazolin + Flagyl Clindamycin + Aztreonam Hepatic Cyst Fenestration Laparoscopic Cefazolin + Flagyl Clindamycin + Aztreonam Hepaticojejunostomy Cefazolin + Flagyl Clindamycin + Aztreonam Hiatal Hernia Repair Transthoracic Cefazolin + Flagyl Clindamycin + Aztreonam Hickman Catheter Removal None Indicated None Indicated Hip Arthroscopy Cefazolin Vancomycin Hip Bone Marrow Aspirate/Injection None Indicated None Indicated Hip Core Decompression Cefazolin, Add Vanc if MRSA Risk Vancomycin Hip Disarticulation Cefazolin, Add Vanc if MRSA Risk Vancomycin Hip Excision Heterotopic Ossification Cefazolin, Add Vanc if MRSA Risk Vancomycin Hip Girdlestone Procedure Cefazolin, Add Vanc if MRSA Risk Vancomycin Hip Hardware Removal Cefazolin, Add Vanc if MRSA Risk Vancomycin Hip Hemiarthroplasty Cefazolin, Add Vanc if MRSA Risk Vancomycin Hip Hemiarthroplasty Bipolar Cefazolin, Add Vanc if MRSA Risk Vancomycin Hip Hemiarthroplasty Bipolar Anterior Cefazolin, Add Vanc if MRSA Risk Vancomycin Hip Heterotopic Bone Removal Cefazolin, Add Vanc if MRSA Risk Vancomycin Hip I&D Cefazolin Vancomycin Hip I&D/Hardware Removal/ATB Spacer Cefazolin, Add Vanc if MRSA Risk Vancomycin Revision 7/24/2019

Hip Injection None Indicated None Indicated Hip Nail Retrograde Cefazolin, Add Vanc if MRSA Risk Vancomycin Hip Nail/Screw Insertion Cefazolin, Add Vanc if MRSA Risk Vancomycin Hip ORIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Hip ORIF Gamma Cefazolin, Add Vanc if MRSA Risk Vancomycin Hip ORIF Pinning Cefazolin, Add Vanc if MRSA Risk Vancomycin Hip ORIF Trochanteric Fixation Nail Cefazolin, Add Vanc if MRSA Risk Vancomycin Hip Pinning Percutaneous Cefazolin, Add Vanc if MRSA Risk Vancomycin Hip Resurfacing Cefazolin, Add Vanc if MRSA Risk Vancomycin Hip Revision Bipolar Cefazolin, Add Vanc if MRSA Risk Vancomycin Hip Total Replacement Cefazolin, Add Vanc if MRSA Risk Vancomycin Hip Total Replacement Anterior Cefazolin, Add Vanc if MRSA Risk Vancomycin Hip Total Replacement Anterior Bil Cefazolin, Add Vanc if MRSA Risk Vancomycin Hip Total Revision Cefazolin, Add Vanc if MRSA Risk Vancomycin Hip Total Revision Anterior Cefazolin, Add Vanc if MRSA Risk Vancomycin Hip Total Revision/Hardware Removal Cefazolin, Add Vanc if MRSA Risk Vancomycin Hip/Femur ORIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Hip/Femur ORIF w/IM Rods Cefazolin, Add Vanc if MRSA Risk Vancomycin Humerus Biopsy Saucerization Cefazolin Vancomycin Humerus IM Rod Insertion Cefazolin, Add Vanc if MRSA Risk Vancomycin Humerus ORIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Humerus Radical Resect/Prosthetic Recon Cefazolin, Add Vanc if MRSA Risk Vancomycin Humerus Radical Resection w/Allograft Cefazolin, Add Vanc if MRSA Risk Vancomycin Hydrocelectomy Cefazolin Vancomycin Hymenectomy Partial Revise Hymenal Ring None Indicated None Indicated Hymenotomy None Indicated None Indicated Hypoglossal Nerve Stimulator Placement Cefazolin Vancomycin Hypophysectomy Cefazolin, Add Vanc if MRSA Risk Vancomycin Hypophysectomy Endoscopic Cefazolin, Add Vanc if MRSA Risk Vancomycin Hypophysectomy Endoscopic Skull Base Cefazolin, Add Vanc if MRSA Risk Vancomycin Hypophysectomy Endoscopic/ENT Approach Cefazolin, Add Vanc if MRSA Risk Vancomycin Hysterectomy Abdominal Total Cefazolin Clindamycin + Gentamicin Hysterectomy Abdominal Total w/BSO Cefazolin Clindamycin + Gentamicin Hysterectomy Laparoscopic Vaginal Cefazolin Clindamycin + Gentamicin Hysterectomy Robotic Cefazolin Clindamycin + Gentamicin Hysterectomy Robotic Single Incision Cefazolin Clindamycin + Gentamicin Hysterectomy Supracervical Abdominal Cefazolin Clindamycin + Gentamicin Hysterectomy Supracervical Laparoscopic Cefazolin Clindamycin + Gentamicin Hysterectomy Total Abdominal Laparosc Cefazolin Clindamycin + Gentamicin Hysterectomy Total Laparoscopic Cefazolin Clindamycin + Gentamicin Hysterectomy Vag Salpingo‐Oophorectomy Cefazolin Clindamycin + Gentamicin Hysterectomy Vaginal Cefazolin Clindamycin + Gentamicin Hysterectomy w/ BSO Robotic Single Incision Cefazolin Clindamycin + Gentamicin Hysterectomy w/BSO Robotic Cefazolin Clindamycin + Gentamicin Hysteroscopic Tubal Ligation Occlus Dev None Indicated None Indicated Hysteroscopy Diagnostic None Indicated None Indicated Hysteroscopy Endometrial Polyp Bx D&C None Indicated None Indicated Hysteroscopy Removal of Leiomyomata None Indicated None Indicated Hysteroscopy Surgical None Indicated None Indicated Hysteroscopy w/D&C None Indicated None Indicated Hysteroscopy w/wo D&C None Indicated None Indicated Hysteroscopy/D&C/Myomectomy None Indicated None Indicated Hysteroscopy/Myomectomy/Polypectomy None Indicated None Indicated I&D MP Cefazolin + Flagyl Clindamycin + Aztreonam ICP Bolt Insertion Cefazolin Vancomycin Ileal Loop Revision Cefazolin + Flagyl Clindamycin + Gentamicin Ileocecectomy Laparoscopic Cefazolin + Flagyl Clindamycin + Aztreonam Ileoscopy w/Stent Placement Ask Proceduralist if Necessary Ileostomy Cefazolin + Flagyl Clindamycin + Aztreonam Ileostomy Closure Cefazolin + Flagyl Clindamycin + Aztreonam Ileostomy Laparoscopic Cefazolin + Flagyl Clindamycin + Aztreonam Ileostomy Revision Cefazolin + Flagyl Clindamycin + Aztreonam Ileostomy Take Down Laparoscopic Cefazolin + Flagyl Clindamycin + Aztreonam Iliac Aneurysm Repair Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Iliac Artery Angioplasty Stent Artis Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Iliac Artery Angioplasty w/Stent Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Iliac Artery Endo Stent Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Iliac Endarterectomy Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Iliac Femoral Bypass Graft Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Iliac‐Iliac Bypass Graft Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Ilioinguinal Nerve Block None Indicated None Indicated Implant Removal Posterior Segment Eye None Indicated None Indicated Incisional Hernia Repair Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Incisional Hernia Repair Laparoscopic Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Incisional Hernia Repair Robotic Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Incisional Hernia Repair w/Mesh Cefazolin (+ Vanc for Implants) Vancomycin Indwelling Tunneled Catheter Removal None Indicated None Indicated Revision 7/24/2019

Infusion Pump Insertion Cefazolin, Add Vanc if MRSA Risk Vancomycin + Gentamcin (Clinda and Aztreonam if vanc allergic) Infusion Pump Removal Cefazolin Vancomycin Infusion Pump Replacement Cefazolin, Add Vanc if MRSA Risk Vancomycin Inguinal Exploration Ask Proceduralist if Necessary Inguinal Hernia Repair Cefazolin Vancomycin Inguinal Hernia Repair Bilateral Cefazolin Vancomycin Inguinal Hernia Repair Bilateral Lap Cefazolin Vancomycin Inguinal Hernia Repair Laparoscopic Cefazolin Vancomycin Inguinal Hernia Repair Robotic Cefazolin Vancomycin Inguinal Lymph Node Dissection None Indicated None Indicated Inguinal Node Dissection Laparoscopic Cefazolin Vancomycin Injection Botox None Indicated None Indicated Intercostal Nerve Block None Indicated None Indicated Intercostal RF None Indicated None Indicated Intestinal Cutaneous Fistula Closure Ask Proceduralist if Necessary Intra‐Aortic Balloon Pump Insertion Ask Proceduralist if Necessary Intraperitoneal Catheter Insert Laparos Ask Proceduralist if Necessary Intraperitoneal Catheter Insertion Ask Proceduralist if Necessary Intraperitoneal Catheter Removal Ask Proceduralist if Necessary Intraperitoneal Port Insertion Ask Proceduralist if Necessary Intraperitoneal Port Insertion Laparos Ask Proceduralist if Necessary Intraperitoneal Port Removal Ask Proceduralist if Necessary Intrathecal Cath/Infusion Pump Removal Cefazolin Vancomycin Intrathecal Cath/Infusion Pump Replace Cefazolin, Add Vanc if MRSA Risk Vancomycin Intrathecal Cath/Infusion Pump Revision Cefazolin, Add Vanc if MRSA Risk Vancomycin Intrathecal Catheter Insertion Cefazolin, Add Vanc if MRSA Risk Vancomycin Intrathecal Catheter/Pump Insertion Cefazolin Vancomycin Intrathecal Catheter/Pump Removal Cefazolin, Add Vanc if MRSA Risk Vancomycin Intravitreal Implantation None Indicated None Indicated Intravitreal Injection None Indicated None Indicated IOL Implant Exchange None Indicated None Indicated IOL Prosthesis Insert w/o Cataract Rmvl None Indicated None Indicated IOL Reposition None Indicated None Indicated Iridectomy None Indicated None Indicated Irrigation & Debridement Ask Proceduralist if Necessary Isolated Limb Infusion None Indicated None Indicated IUD Removal None Indicated None Indicated Jejunostomy Feeding Tube Ask Proceduralist if Necessary Jejunostomy Laparoscopic Ask Proceduralist if Necessary Jejunostomy Tube Placement Laparoscopic Ask Proceduralist if Necessary Joint Injection None Indicated None Indicated Jones Tube Insertion None Indicated None Indicated Keratoplasty Endothelial None Indicated None Indicated Keratoplasty Lamellar None Indicated None Indicated Keratoplasty Penetrating None Indicated None Indicated Keratoplasty Penetrating ‐ DSEK None Indicated None Indicated Keratoplasty Penetrating Aphakia None Indicated None Indicated Keratoplasty Penetrating Except Aphakia None Indicated None Indicated Keratoplasty Penetrating Pseudophakia None Indicated None Indicated Keratoprosthesis None Indicated None Indicated Kidney Cryoablation Ask Proceduralist if Necessary Kidney Transplant Deceased Donor Cefazolin Vancomycin + Aztreonam Kidney Transplant Living Donor Cefazolin Vancomycin + Aztreonam Kidney Transplant Paired Donor Cefazolin Vancomycin + Aztreonam Kidney/Pancreas Transplant Cefazolin + Fluconazole Vancomycin + Aztreonam + Fluconazole Knee Above Amputation Cefazolin Vancomycin Knee Above Amputation Revision Cefazolin Vancomycin Knee Above Closed Reduct/Manipulate None Indicated None Indicated Knee Above Exploration/Revision Cefazolin Vancomycin Knee Above I&D Cefazolin Vancomycin Knee Above I&D Cefazolin Vancomycin Knee Above Mass/Soft Tissue Excision Cefazolin Vancomycin Knee Above Mass/Soft Tissue Rad Exc Cefazolin Vancomycin Knee Arthroscopy None Indicated None Indicated Knee Arthroscopy w/MPFL Reconstruction Cefazolin Vancomycin Knee Arthroscopy/Bone Marrow Aspirate/Injection None Indicated None Indicated Knee Arthroscopy/Meniscectomy None Indicated None Indicated Knee Below Amputation Cefazolin Vancomycin Knee Below Amputation Bilateral Cefazolin Vancomycin Knee Below Amputation Revision Cefazolin Vancomycin Knee Below Biopsy None Indicated None Indicated Knee Below Exploration/Revision Cefazolin Vancomycin Knee Below I&D Cefazolin Vancomycin Knee Below I&D Cefazolin Vancomycin Knee Below Mass/Soft Tissue Excision Cefazolin Vancomycin Knee Below Mass/Soft Tissue Excision Cefazolin Vancomycin Knee Below Mass/Soft Tissue Rad Exc Cefazolin Vancomycin Revision 7/24/2019

Knee Chondroplasty None Indicated None Indicated Knee Hardware Removal Cefazolin Vancomycin Knee Hematoma Evacuation None Indicated None Indicated Knee I & D Hardware Removal ATB Spacer Cefazolin Vancomycin Knee I&D Cefazolin Vancomycin Knee Iliotibial Band Release None Indicated None Indicated Knee Lateral Collateral Ligament Repair None Indicated None Indicated Knee Loose Body Removal Ask Proceduralist if Necessary Knee Meniscus Repair None Indicated None Indicated Knee Microfracture None Indicated None Indicated Knee ORIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Knee Osteochondral Allograft Cefazolin, Add Vanc if MRSA Risk Vancomycin Knee Plica Excision None Indicated None Indicated Knee Revision Polyethylene Exchange Cefazolin, Add Vanc if MRSA Risk Vancomycin Knee Tenotomy None Indicated None Indicated Knee Total Replacement Cefazolin, Add Vanc if MRSA Risk Vancomycin Knee Total Replacement Bilateral Cefazolin, Add Vanc if MRSA Risk Vancomycin Knee Total Replacement Uni/Hemi Robotic Cefazolin, Add Vanc if MRSA Risk Vancomycin Knee Total Revision Cefazolin, Add Vanc if MRSA Risk Vancomycin Knee Total Revision/Hardware Removal Cefazolin, Add Vanc if MRSA Risk Vancomycin Knee Uni‐Compartment Replacement Cefazolin, Add Vanc if MRSA Risk Vancomycin Knee/Leg I&D Cefazolin Vancomycin Kyphoplasty Cefazolin, Add Vanc if MRSA Risk Vancomycin Labial Reduction None Indicated None Indicated Labiaplasty None Indicated None Indicated Labyrinthectomy None Indicated None Indicated Lacrimal Punctum Snip Incision None Indicated None Indicated Lagophthalmos Correction Implant Up Lid None Indicated None Indicated Laminectomy w/Rhizotomy Cefazolin, Add Vanc if MRSA Risk Vancomycin Laminotomy w/Nerve Root Decompression Cefazolin, Add Vanc if MRSA Risk Vancomycin Lap Band Adjustment Ask Proceduralist if Necessary Laparoscopy Robotic None Indicated None Indicated Laparoscopy Surgical None Indicated None Indicated Laparoscopy Surgical w/Laser None Indicated None Indicated Laparoscopy/Hysteroscopy None Indicated None Indicated Laparoscopy/Hysteroscopy/Poss Expl lap None Indicated None Indicated Laparotomy Exploratory Ask Proceduralist if Necessary Laparotomy Exploratory Kidney Transplant Cefazolin Vancomycin + Aztreonam Laparotomy Exploratory Liver Transplant Piperacillin‐Tazobactam Vancomycin + Aztreonam + Flagyl Laparotomy Exploratory ONC Cefazolin Vancomycin Laparotomy Exploratory THO Cefazolin, ask proceduralist if additional antibioticClindamycin Laparotomy Exploratory URO Cefazolin, ask proceduralist if additional antibioticClindamycin + Gentamicin Laparotomy Exploratory/Small Bowl Resec Cefazolin + Flagyl Clindamycin + Aztreonam Laryngeal/Pharyngeal Abscess I & D Cefazolin + Flagyl Clindamycin Laryngectomy Cefazolin + Flagyl Clindamycin Laryngectomy w/ Free Flap Part 1 Cefazolin + Flagyl Clindamycin Laryngocele Excision Cefazolin + Flagyl Clindamycin Laryngoplasty Cefazolin + Flagyl Clindamycin Laryngoplasty Endoscopic Cefazolin + Flagyl Clindamycin Laryngoplasty/Silastic Implants Cefazolin + Flagyl Clindamycin Laryngoscopy Direct None Indicated None Indicated Laryngoscopy Direct w/Biopsy None Indicated None Indicated Laryngoscopy Direct w/Bronchoscopy None Indicated None Indicated Laryngoscopy Direct w/Dilation None Indicated None Indicated Laryngoscopy Direct w/Dilation Initial None Indicated None Indicated Laryngoscopy Direct w/VC Injection None Indicated None Indicated Laryngoscopy Flexible None Indicated None Indicated Laryngoscopy w/Biopsy None Indicated None Indicated Laryngoscopy w/injection None Indicated None Indicated Laryngoscopy w/vocal cord Exc None Indicated None Indicated Laser Ablation MRI Cefazolin, Add Vanc if MRSA Risk Vancomycin Laser Ablation OR/MRI Cefazolin, Add Vanc if MRSA Risk Vancomycin Lateral Branch Radiofrequency None Indicated None Indicated Lateral Release None Indicated None Indicated Latissimus Flap None Indicated None Indicated Latissimus Free Flap Cefazolin Vancomycin Lefort Reconstruct Midface Cefazolin Clindamycin Leg Epiphyseal Arrest Cefazolin, Add Vanc if MRSA Risk Vancomycin Leg Hematoma Evacuation Cefazolin Vancomycin Leg Mass Excision None Indicated None Indicated Leg Wound Debridement Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Lens Material Removal None Indicated None Indicated Lens Material Rmvl Phacofrag Aspiration None Indicated None Indicated Lid Reconstruction Cefazolin Vancomycin Lid Retraction Correction None Indicated None Indicated Lid/Nose/Ear/Lip Adjacent Tissue Trans Cefazolin Vancomycin Lifeport/Infusaport Insertion Ask Proceduralist if Necessary Revision 7/24/2019

Lifeport/Infusaport Removal Ask Proceduralist if Necessary Ligation of Intersphincteric Fistual Tract Ask Proceduralist if Necessary Limb Lengthening/Manipulation under Anes None Indicated None Indicated Limbal Stem Cell Transplant None Indicated None Indicated Lip Cleft Repair None Indicated None Indicated Lip Flap None Indicated None Indicated Lipectomy Cefazolin Vancomycin Lipectomy Suction Assisted Cefazolin Vancomycin Liposuction Cefazolin Vancomycin Liver Biopsy Open Cefazolin + Flagyl Clindamycin + Aztreonam Liver Resection Cefazolin + Flagyl Clindamycin + Aztreonam Liver Resection Laparoscopic Cefazolin + Flagyl Clindamycin + Aztreonam Liver Resection Laparotomy Cefazolin + Flagyl Clindamycin + Aztreonam Liver Resection Robotic Cefazolin + Flagyl Clindamycin + Aztreonam Liver Transplant Piperacillin‐Tazobactam Vancomycin + Aztreonam + Flagyl Liver/Kidney Transplant Piperacillin‐Tazobactam Vancomycin + Aztreonam + Flagyl Lower Leg I&D Cefazolin Vancomycin LP Shunt Cefazolin Vancomycin LP Shunt Lap Assist Cefazolin Vancomycin LP Shunt Lap Assist Revision/Removal Cefazolin Vancomycin LP Shunt Revision/Removal Cefazolin Vancomycin Lumbar CSF Leak Repair Cefazolin Vancomycin Lumbar Decompression Far Lateral HNP Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Decompression w/Interspinous Fix Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Disc Replacement Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Discectomy Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Discectomy Revision Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Discogram None Indicated None Indicated Lumbar Drain Insertion Ask Proceduralist if Necessary Lumbar ESI None Indicated None Indicated Lumbar Foraminotomy Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Fusion Ant w/Inst/c Open Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Fusion Ant w/Inst/Thoracic Open Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Fusion Anterior w/instr Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Fusion Lateral Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Fusion Post w/instr portable CT Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Fusion Posterior w/instr Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Fusion Posterior w/instru Percutaneous Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Fusion XLIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Hardware Revision/Removal Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Hemilaminectomy Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar IL ESI None Indicated None Indicated Lumbar Interbody Fusion Anterior Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Interbody Fusion Posterior Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Lam Spinal Cord Tumor/Mass/Cyst Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Lami for Spinal Cord Mass/Cyst Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Laminectomy Decompression Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Laminectomy Intralaminar Stabiliz Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Laminectomy Minimally Inive Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Laminectomy MIS Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Laminectomy Post/Decom/Discectomy Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Laminectomy Posterior Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Laminectomy Posterior w/instr Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Laminectomy Spinal Cord Detether Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Laminectomy w/instr A&P Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Laminectomy/Fusion Retroperit Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Laminotomy Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Laminotomy Reexploration Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar MBB None Indicated None Indicated Lumbar Microdiscectomy Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Nerve Root Block None Indicated None Indicated Lumbar Puncture None Indicated None Indicated Lumbar RF None Indicated None Indicated Lumbar Sacroiliac Fixation Cefazolin, Add Vanc if MRSA Risk Vancomycin Lumbar Transforaminal Injection None Indicated None Indicated Lumpectomy w/Sentinel Node Biopsy Cefazolin (+ Vanc for Implants) Clindamycin Lung Resection Robotic Cefazolin Vancomycin Lung Transplant Double Vancomycin + Ceftazidime + Posaconazole Call ID Lung Transplant Single Vancomycin + Ceftazidime + Posaconazole Call ID Lymph Node Biopsy None Indicated None Indicated Lymph Node Dissection None Indicated None Indicated Lymph Node Dissection Robotic Ask Proceduralist if Necessary Lymphadenectomy Cefazolin Vancomycin Lymphadenectomy Laparoscopic Cefazolin Clindamycin + Gentamicin Lymphadenectomy Retroperitoneal Cefazolin Clindamycin + Gentamicin Lymphatic Venous Bypass Cefazolin Vancomycin Lysis of Adhesions Ask Proceduralist if Necessary Revision 7/24/2019

Lysis of Adhesions Laparoscopic Ask Proceduralist if Necessary Lysis of Adhesions Robotic None Indicated None Indicated Major Joint Injection None Indicated None Indicated Mandible Closed Reduction Cefazolin Clindamycin Mandible Cyst Enucleation Cefazolin Clindamycin Mandible Debridement/Sequestrectomy Cefazolin Clindamycin Mandible LeFort 1/IVRO Cefazolin Clindamycin Mandible ORIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Mandible ORIF Cefazolin, Add Vanc if MRSA Risk Clindamycin Mandible Recon w/Tibial Bone Graft Cefazolin, Add Vanc if MRSA Risk Clindamycin Mandible Reconstruction w/ICBG Cefazolin, Add Vanc if MRSA Risk Clindamycin Mandible Resection Cefazolin Clindamycin Mandible/Maxilla Hardware Removal Cefazolin, Add Vanc if MRSA Risk Clindamycin Mandibular Augmentation Cefazolin Clindamycin Mandibular Mass Excision Cefazolin Clindamycin Mandibular Mass/Soft Tissue Excision Cefazolin Clindamycin Mandibulectomy Cefazolin Clindamycin Mandibulectomy w/Free Flap part 1 Cefazolin Clindamycin Manipulation Under Anesthesia Ask Proceduralist if Necessary Mass Excision MP Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Mass/Soft Tissue Excision Complex Cefazolin Vancomycin Mass/Soft Tissue Excision URO Cefazolin Clindamycin + Gentamicin Mastectomy Cefazolin Vancomycin Mastectomy Part/Simple/Lymphadenectomy Cefazolin Vancomycin Mastectomy Radical Modified Cefazolin Vancomycin Mastectomy Simple Cefazolin Vancomycin Mastectomy Subcutaneous Cefazolin Vancomycin Mastectomy w/Axillary Lymphadenectomy Cefazolin Vancomycin Mastectomy w/Sentinel Node Biopsy Cefazolin Vancomycin Mastoidectomy Cefazolin Clindamycin Mastoidectomy /Petrous Apicectomy Cefazolin Clindamycin Mastoidectomy/Tympanoplasty Cefazolin Clindamycin Mastopexy Cefazolin Vancomycin Maxilla/Mandible Cyst Enucleation Cefazolin Clindamycin Maxillary Antrostomy None Indicated None Indicated Maxillary Augmentation Cefazolin Clindamycin Maxillary Debridement/Sequestrectomy Cefazolin Clindamycin Maxillary LeFort Osteotomy Cefazolin Clindamycin Maxillary ORIF Cefazolin, Add Vanc if MRSA Risk Clindamycin Maxillary ORIF Cefazolin, Add Vanc if MRSA Risk Clindamycin Maxillary Sinoscopy None Indicated None Indicated Maxillectomy Cefazolin Clindamycin Maxillectomy OTO Cefazolin Clindamycin Maxillectomy w/Free Flap part 1 Cefazolin Clindamycin Meatoplasty Cefazolin Clindamycin Meatotomy Ask Proceduralist if Necessary Median Sternotomy Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Mediastinal Mass Excision Robotic Cefazolin Vancomycin Mediastinal Mass Resection Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Mediastinal Re‐Exploration Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Mediastinoscopy Cefazolin Vancomycin Mediastinoscopy/Biopsy/Bronchoscopy Flex Cefazolin Vancomycin Mediastinoscopy/Thoracoscopy VATS Cefazolin Vancomycin Meniscectomy None Indicated None Indicated Mesenteric Artery Angioplasty w/Stent Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Mesenteric Artery AngioplastyStent Artis Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Mesenteric Artery Bypass Graft Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Metacarpal ORIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Metatarsal Base ORIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Metatarsal Ostectomy Partial None Indicated None Indicated Metatarsal Osteotomy Keller/McBride/Mayo None Indicated None Indicated Metatarsal Osteotomy other than first None Indicated None Indicated Metatarsophalangeal Fusion None Indicated None Indicated Microlaryngoscopy None Indicated None Indicated Microlaryngoscopy Laser None Indicated None Indicated Microlaryngoscopy w/Dilation None Indicated None Indicated Microlaryngoscopy w/Vocal Cord Injection None Indicated None Indicated Middle Ear Exploration None Indicated None Indicated Middle Fossa Exploration None Indicated None Indicated Mid‐Tarsal Fusion None Indicated None Indicated Minimally Inive MVR Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam MOH's Defect Closure PLA None Indicated None Indicated MTP Joint Open Repair Cefazolin, Add Vanc if MRSA Risk Vancomycin MTP Prosthesis Cefazolin, Add Vanc if MRSA Risk Vancomycin Muscle Biopsy Ask Proceduralist if Necessary Muscle Flap None Indicated None Indicated MVR Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Revision 7/24/2019

MVR MIS Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam MVR Robotic Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam MVR/Thoracotomy Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam MVR/TVR Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Myocutaneous Muscle Flap Cefazolin Vancomycin Myocutaneous Muscle Flap Cefazolin Vancomycin Myomectomy Cefazolin Vancomycin Myomectomy Laparoscopic Cefazolin Vancomycin Myomectomy Robotic Cefazolin Vancomycin Myomectomy Vaginal Approach None Indicated None Indicated Myringoplasty None Indicated None Indicated Myringotomy Not Indicated Not Indicated Myringotomy Tube Removal None Indicated None Indicated Myringotomy w/Tubes None Indicated None Indicated Nail Bed Repair None Indicated None Indicated Nail/Nail Bed Excision None Indicated None Indicated Nasal Antrostomy None Indicated None Indicated Nasal Endocopy Rigid Diag None Indicated None Indicated Nasal Endoscopy None Indicated None Indicated Nasal Endoscopy w/Epistaxis Control None Indicated None Indicated Nasal Endoscopy w/KTP Laser None Indicated None Indicated Nasal Fracture Closed Reduction None Indicated None Indicated Nasal Fracture ORIF Cefazolin Clindamycin Nasal Hemorrhage Control Anterior Simple None Indicated None Indicated Nasal Polypectomy None Indicated None Indicated Nasal Reconstruction Staged w/Flap None Indicated None Indicated Nasal Reconstruction Staged w/Flap None Indicated None Indicated Nasal Septal Perforations Repair None Indicated None Indicated Nasal Sinus Endo w/Nasal Septal Recon None Indicated None Indicated Nasal Sinus Endo/Repair CSF Leak/Stereo None Indicated None Indicated Nasal Sinus Endo/Septoplasty/Rhinoplasty None Indicated None Indicated Nasal Sinus Endoscopy w/KTP Laser None Indicated None Indicated Nasal Sinus Endoscopy/DCR Not Indicated Not Indicated Nasal Sinus Endoscopy/Polpectomy Not Indicated Not Indicated Nasal Sinus Endoscopy/Repair of CSF Leak None Indicated None Indicated Nasal Sinus Endoscopy/Septoplasty None Indicated None Indicated Nasal Sinus Endoscopy/Skull Base OTO None Indicated None Indicated Nasal Valve Reconstruction None Indicated None Indicated Nasal/Sinus Endoscopy Bicoronal Frontal None Indicated None Indicated Nasal/Sinus Endoscopy Stereotactic None Indicated None Indicated Nasolacrimal Duct Probe Irrig/Tube/Stent None Indicated None Indicated Nasopharyngeal Biopsy Endoscopy None Indicated None Indicated Nasopharyngeal Tumor Resection None Indicated None Indicated Navicular Accessory Excision None Indicated None Indicated Neck Dissection None Indicated None Indicated Neck Dissection OTO None Indicated None Indicated Neck Dissection Radical Ask Proceduralist if Necessary Neck Dissection w/Free Flap OTO Ask Proceduralist if Necessary Neck Exploration Ask Proceduralist if Necessary Neck Flap Revision Ask Proceduralist if Necessary Neck Free Flap Exploration Ask Proceduralist if Necessary Neck Mass Excision None Indicated None Indicated Neck vascular Repair Ask Proceduralist if Necessary Nephrectomy Cefazolin Vancomycin Nephrectomy Donor Laparoscopic Cefazolin Vancomycin + Aztreonam Nephrectomy Laparoscopic Cefazolin Vancomycin Nephrectomy Laparoscopic Hand Assisted Cefazolin Vancomycin Nephrectomy Paired Donor Laparoscopic Cefazolin Vancomycin + Aztreonam Nephrectomy Partial Cefazolin Vancomycin Nephrectomy Partial Laparoscopic Cefazolin Vancomycin Nephrectomy Partial Robotic Cefazolin Vancomycin Nephrectomy Radical Cefazolin Vancomycin Nephrectomy Robotic Cefazolin Vancomycin Nephrectomy Total/Partial Dorsal Lum App Cefazolin Vancomycin Nephrectomy w/VC Thrombectomy Cefazolin Vancomycin Nephrectomy w/VC Tumor Thrombectomy/CPB Cefazolin Vancomycin Nephrolithotomy Percutaneous Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Nephroureterectomy Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Nephroureterectomy Laparoscopic Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Nephroureterectomy Robotic Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Nerve Biopsy Cefazolin Vancomycin Nerve Decompression None Indicated None Indicated Nerve Graft Cefazolin Vancomycin Nerve Repair Cefazolin Vancomycin Nerve Repair Cefazolin Vancomycin Nerve Repair w/Graft Cefazolin Vancomycin Nerve Root Injection None Indicated None Indicated Revision 7/24/2019

Nerve Sheath Tumor Excision Cefazolin, Add Vanc if MRSA Risk Vancomycin Nerve Stimulator Implantation 1 Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Nerve Stimulator Implantation 1 URO Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Nerve Stimulator Implantation 2 Cefazolin, Add Vanc if MRSA Risk Vancomycin Nerve Stimulator Implantation 2 URO Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Nerve Stimulator Removal None Indicated None Indicated Nerve Stimulator Removal/Revision URO Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Nerve Stimulator Revision Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Nerve Stimulator Test Ask Proceduralist if Necessary Neurofibroma Excision Cefazolin Vancomycin Neurolysis None Indicated None Indicated Neuroma Mortons Excision None Indicated None Indicated Neuroplasty Cefazolin Vancomycin Nipple Reconstruction Cefazolin Vancomycin Nissen Fundoplasty Laparoscopic Cefazolin Vancomycin Nissen Robotic Cefazolin Vancomycin Nonunion or Malunion Repair Cefazolin, Add Vanc if MRSA Risk Vancomycin Not Recorded None Indicated None Indicated Occipital Cervical Fusion Cefazolin, Add Vanc if MRSA Risk Vancomycin Occipital Nerve Pulsed RF None Indicated None Indicated Ocular Implant Insert/After Enuc/wMuscle Cefazolin, Add Vanc if MRSA Risk Vancomycin Ocular Implant Insert/AfterEnuc/noMuscle Cefazolin, Add Vanc if MRSA Risk Vancomycin Ocular Surface Recon Amniotic Membrane Cefazolin Vancomycin Olecranon Bursectomy None Indicated None Indicated Omaya Reservoir Insertion Cefazolin, Add Vanc if MRSA Risk Vancomycin Omaya Reservoir Removal Cefazolin, Add Vanc if MRSA Risk Vancomycin Oophorectomy None Indicated None Indicated Oophorectomy Laparoscopic None Indicated None Indicated Oophorectomy Robotic None Indicated None Indicated OPCABG Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Optic Nerve Sheath Fenestration None Indicated None Indicated OR AVR Transaortic Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam OR AVR Transcarotid Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam OR AVR Transcaval Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam OR AVR Transfemoral Percutaneous Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam OR Special Procedures Ask Proceduralist if Necessary OR Transcath Mitral Valve Implant Transapical Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam OR Transcath Mitral Valve Implant Transfemoral Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Oral Antral Fistula Closure Cefazolin + Flagyl Clindamycin Oral Cavity Lesion Excision Cefazolin + Flagyl Clindamycin Oral Cavity Mass/Soft Tissue Exc Cefazolin + Flagyl Clindamycin Oral Cavity Mass/Soft Tissue Exc OTO Cefazolin + Flagyl Clindamycin Oral Cavity Repair Cefazolin + Flagyl Clindamycin Orbit Floor Fx Open Tx Periorbit/Implant Cefazolin, Add Vanc if MRSA Risk Vancomycin Orbital Decompression None Indicated None Indicated Orbital Exenteration None Indicated None Indicated Orbital Floor Fracture Repair None Indicated None Indicated Orbital Floor ORIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Orbital Floor ORIF Cefazolin, Add Vanc if MRSA Risk Clindamycin Orbital Floor ORIF OPH Cefazolin, Add Vanc if MRSA Risk Vancomycin Orbital Implant None Indicated None Indicated Orbital Implant Removal or Revision None Indicated None Indicated Orbital/Facial Fracture ORIF Cefazolin, Add Vanc if MRSA Risk Clindamycin Orbital/Facial Fracture ORIF Cefazolin, Add Vanc if MRSA Risk Clindamycin Orbitotomy None Indicated None Indicated Orbitotomy w/o Bone Flap w/Rmvl Lesion None Indicated None Indicated Orbitotomy w/Rmvl Bone for Decompression None Indicated None Indicated OrbitotomyBoneFlapWindowLatAppExcLesion None Indicated None Indicated Orchiectomy Ask Proceduralist if Necessary Orchiectomy Partial Ask Proceduralist if Necessary Orchiectomy Radical Ask Proceduralist if Necessary Orchiopexy Ask Proceduralist if Necessary Organ Procurement Cefazolin standard, call ID if positive donor cultureVancomycin + Aztreonam standard, call ID if positive donor cultures Oromaxillary Fistula Repair Cefazolin + Flagyl Clindamycin Oronasal Fistula Repair Cefazolin + Flagyl Clindamycin Oropharyngeal Post‐op Hemorrhage Control Cefazolin + Flagyl Clindamycin Otoplasty Cefazolin + Flagyl Clindamycin Ovarian Cystectomy None Indicated None Indicated Ovarian Cystectomy Laparoscopic None Indicated None Indicated Ovarian Cystectomy Robotic None Indicated None Indicated Pacemaker Removal Ask Proceduralist if Necessary Pacemaker/Lead Insertion/Revision Ask Proceduralist if Necessary Pacemaker/Lead Insertion/Revision MIS Ask Proceduralist if Necessary Palate Lesion Excision Cefazolin + Flagyl Clindamycin Palate Mass/Soft Tissue Excision Cefazolin + Flagyl Clindamycin Palatopharyngoplasty Cefazolin + Flagyl Clindamycin Palatoplasty None Indicated None Indicated Revision 7/24/2019

Pallidotomy/Thalamotomy Cefazolin, Add Vanc if MRSA Risk Vancomycin Palmar Fasciectomy None Indicated None Indicated Pancreas Transplant Cefazolin + Fluconazole Vancomycin + Aztreonam + Fluconazole Pancreatectomy Cefazolin Vancomycin Pancreatic Debridement Cefazolin + Flagyl Clindamycin + Aztreonam Pancreatic Debridement Laparoscopic Cefazolin + Flagyl Clindamycin + Aztreonam Pancreaticojejunostomy Cefazolin + Flagyl Clindamycin + Aztreonam Panendoscopy None Indicated None Indicated Paraesophageal Hernia Repair Robotic Cefazolin + Flagyl Clindamycin + Aztreonam Paraesophageal Hernia RepairLaparoscopic Cefazolin + Flagyl Clindamycin + Aztreonam Parapharyngeal Space Tumor Resection Cefazolin + Flagyl Clindamycin Parastomal Hernia Repair Cefazolin Vancomycin Parathyroid Exploration None Indicated None Indicated Parathyroid Re‐exploration None Indicated None Indicated Parathyroidectomy None Indicated None Indicated Parathyroidectomy w/Cryopreservation None Indicated None Indicated Paravaginal Repair Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Paravaginal Repair Laparoscopic w/Sling Cefazolin Clindamycin Paravaginal Repair w/Sling Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Parotidectomy None Indicated None Indicated PARS Block None Indicated None Indicated Patella ORIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Patella Tendon Repair None Indicated None Indicated Patellofemoral Arthroplasty Cefazolin Vancomycin PDA Closure Infant Ask Proceduralist if Necessary Pectoralis Flap Cefazolin Vancomycin Pectoralis Major Repair None Indicated None Indicated Pectus Repair None Indicated None Indicated Pelvic EUA None Indicated None Indicated Pelvic Exoneration Cefazolin + Flagyl Clindamycin + Aztreonam Pelvic Lymph Node Dissection Cefazolin Vancomycin Pelvic Lymphadenectomy Cefazolin Vancomycin Pelvic Mass Resection Cefazolin Vancomycin Pelvis Biopsy Saucerization Cefazolin Vancomycin Pelvis ORIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Pelvis Total Reconstruction Cefazolin, Add Vanc if MRSA Risk Vancomycin Penectomy Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Penectomy Partial Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Penile Biopsy Ask Proceduralist if Necessary Penile Condyloma Excision Ask Proceduralist if Necessary Penile Exploration Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Penile Lesion Excision Ask Proceduralist if Necessary Penile Plaque Incision & Grafting Ask Proceduralist if Necessary Penile Plication Ask Proceduralist if Necessary Penile Prosthesis Explanted Ask Proceduralist if Necessary Penile Prosthesis Inflatable Removal Ask Proceduralist if Necessary Penile Prosthesis Inflatable Salavage Vancomycin + Gentamicin Ask Proceduralist Penile Prosthesis Insertion Inflatable Vancomycin + Gentamicin Ask Proceduralist Penile Prosthesis Revision Vancomycin + Gentamicin Ask Proceduralist Penile Prosthesis Salvage Vancomycin + Gentamicin Ask Proceduralist Penile Venous Ligation Cefazolin Clindamycin + Gentamicin Penoplasty Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Percutaneous Gastrostomy Tube Insertion Cefazolin Vancomycin Percutaneous Left Atrial Appendage Ablation (Watchman) Cefazolin Vancomycin Percutaneous Nephrolith/Stone Cefazolin + Flagyl Clindamycin + Gentamicin Percutaneous Nephrolithotomy 2nd Look Cefazolin + Flagyl Clindamycin + Gentamicin Percutaneous Trach Tube Placement Cefazolin Vancomycin Periacetabular Osteotomy Cefazolin Vancomycin Pericardial Window Cefazolin Vancomycin Pericardial Window CAR Cefazolin Vancomycin Pericardial Window Robotic Cefazolin Vancomycin Pericardial Window Subxyphoid Cefazolin Vancomycin Pericardial Window Subxyphoid CAR Cefazolin Vancomycin Pericardial Window Subxyphoid THO Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Pericardial Window THO Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Pericardiectomy Cefazolin Vancomycin Perineal Mass/Soft Tissue Excision URO Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Perineoplasty Repair Perineum NonOB Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Perineorrhaphy Cefazolin, ask proceduralist if additional antibioticClindamycin Peripheral Nerve Stim IPG Initial Place Cefazolin, Add Vanc if MRSA Risk Vancomycin Peripheral Nerve Stim IPG Repl Face/Head Cefazolin, Add Vanc if MRSA Risk Vancomycin Peripheral Nerve Stim IPG Replacement Cefazolin, Add Vanc if MRSA Risk Vancomycin Peripheral Nerve Stim Place Face/Head Cefazolin, Add Vanc if MRSA Risk Vancomycin Peripheral Nerve Stim Placement Cefazolin, Add Vanc if MRSA Risk Vancomycin Peripheral Nerve Stim Removal Cefazolin, Add Vanc if MRSA Risk Vancomycin Peripheral Nerve Stim Removal Face/Head Cefazolin, Add Vanc if MRSA Risk Vancomycin Peripheral Nerve Stim Revision Cefazolin, Add Vanc if MRSA Risk Vancomycin Revision 7/24/2019

Peripheral Nerve Stim Revision Face/Head Cefazolin, Add Vanc if MRSA Risk Vancomycin Peripheral Nerve Stim Trial Ld Face/Head Cefazolin, Add Vanc if MRSA Risk Vancomycin Peripheral Nerve Stim Trial Lead Place Cefazolin, Add Vanc if MRSA Risk Vancomycin Peripheral/Sacral Lateral Nerve Block None Indicated None Indicated Perirectal I&D Ask Proceduralist if Necessary Perirectal Mass/Soft Tissue Excision Ask Proceduralist if Necessary Peritoneal I&D Ask Proceduralist if Necessary Perl Pyloromyotomy (POEM) Cefazolin Levaquin Permacath Insertion Ask Proceduralist if Necessary Permacath Removal MP Ask Proceduralist if Necessary Peroneal Neuroplasty Cefazolin, Add Vanc if MRSA Risk Vancomycin Peroneal Tendon Repair None Indicated None Indicated Petrosal Craniotomy for Tumor Cefazolin, Add Vanc if MRSA Risk Vancomycin Petrous Apicectomy w/Mastoidectomy Cefazolin + Flagyl Clindamycin Phacofragmentation w/IOL None Indicated None Indicated Phakic IOL None Indicated None Indicated Pharyngeal Wall/Tumor Excision Cefazolin Vancomycin Pharyngectomy Cefazolin + Flagyl Clindamycin Pilonidal Cyst Excision Ask Proceduralist if Necessary Pilonidal Cyst I&D Ask Proceduralist if Necessary Piriformis Injection None Indicated None Indicated Placement of Fem‐Fem ECMO Ask Proceduralist if Necessary Plantar Fascia Tenotomy Percutaneous None Indicated None Indicated Plantar Fasciitis Release Endoscopic None Indicated None Indicated Plantar Fascitis Release None Indicated None Indicated Plantar Plate Repair Cefazolin Vancomycin Plantar Warts Removal w/Laser None Indicated None Indicated Pleural Indwelling Tunneled Cath Insert None Indicated None Indicated Pleurex Placement None Indicated None Indicated Pleurodesis None Indicated None Indicated Pleuroscopy w/Chemical Pleurodesis None Indicated None Indicated Pneumonectomy Cefazolin Vancomycin POEM Cefazolin Levaquin Popliteal Aneurysm Repair Ask Proceduralist if Necessary Popliteal Endarterectomy Ask Proceduralist if Necessary Popliteal Endo Stent Cefazolin Vancomycin Popliteal‐Tibial Artery Bypass Graft Cefazolin Vancomycin Portacath Insertion None Indicated None Indicated Portacath Insertion Onc None Indicated None Indicated Portacath Insertion/Removal Ask Proceduralist if Necessary Portacath Removal None Indicated None Indicated Portacath Removal MP Ask Proceduralist if Necessary Pouchoscopy Ask Proceduralist if Necessary Preauricular Cyst Excision Cefazolin Vancomycin Proctectomy Cefazolin + Flagyl Clindamycin + Aztreonam Proctectomy Laparoscopic Cefazolin + Flagyl Clindamycin + Aztreonam Proctocolectomy Cefazolin + Flagyl Clindamycin + Aztreonam Proctocolectomy Laparoscopic Cefazolin + Flagyl Clindamycin + Aztreonam Proctoscopy None Indicated None Indicated Prostate Biopsy Needle/Punch any approach Ask Proceduralist if Necessary Prostate Biopsy w/TRUS Cefazolin Clindamycin + Gentamicin Prostate Brachytherapy Ask Proceduralist if Necessary Prostate Cryoablation Cefazolin Clindamycin + Gentamicin Prostate Seeds Implantation Ask Proceduralist if Necessary Prostatectomy Perineal Cefazolin, ask proceduralist if additional antibioticClindamycin + Gentamicin Prostatectomy Retropubic Cefazolin, ask proceduralist if additional antibioticClindamycin + Gentamicin Prostatectomy Retropubic Radical Cefazolin, ask proceduralist if additional antibioticClindamycin + Gentamicin Prostatectomy Robotic Cefazolin Clindamycin + Gentamicin Prostatectomy Simple Cefazolin Clindamycin + Gentamicin Pterygium Excision None Indicated None Indicated Pterygium Excision w/Graft None Indicated None Indicated Ptosis Repair None Indicated None Indicated Pubovaginal Sling Rectus Fascia Cefazolin Clindamycin Pudendal Nerve Block None Indicated None Indicated Pulmonary Embolectomy Cefazolin Vancomycin Pupil Reconstruction None Indicated None Indicated PVR Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Pyeloplasty Cefazolin Clindamycin + Gentamicin Pyeloplasty Robotic Cefazolin Clindamycin + Gentamicin Pyloroplasty Laparoscopic Ask Proceduralist if Necessary Pyloroplasty Robotic Ask Proceduralist if Necessary Quadriceps Tendon Repair None Indicated None Indicated Radial Aneurysm Repair Cefazolin Vancomycin Radial Forearm Free Flap part 2 Cefazolin Vancomycin Radial Free Flap Cefazolin Vancomycin Radial Nerve Repair None Indicated None Indicated Radial/Ulnar ORIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Revision 7/24/2019

Radioactive Plaque Insertion Eye None Indicated None Indicated Radioactive Plaque Removal Eye None Indicated None Indicated Radiofrequency Ablation None Indicated None Indicated Radiotherapy Catheter Placement None Indicated None Indicated Radius/Ulna Saucerization Cefazolin Vancomycin Rectal Advancement Flap Endoscopic Cefazolin + Flagyl Clindamycin + Aztreonam Rectal Biopsy Ask Proceduralist if Necessary Rectal Dilatation Ask Proceduralist if Necessary Rectal EUA None Indicated None Indicated Rectal EUA/Proctoscopy None Indicated None Indicated Rectal EUA/Proctoscopy/Fissurectomy None Indicated None Indicated Rectal Fissurectomy None Indicated None Indicated Rectal Fistulectomy None Indicated None Indicated Rectal Prolapse Excision Cefazolin + Flagyl Clindamycin + Aztreonam Rectal Ultrasound w/EMR None Indicated None Indicated Rectocele Repair Cefazolin + Flagyl Clindamycin + Aztreonam Rectopexy Cefazolin + Flagyl Clindamycin + Aztreonam Rectopexy Laparoscopic Cefazolin + Flagyl Clindamycin + Aztreonam Rectosigmoidectomy Perineal Cefazolin + Flagyl Clindamycin + Aztreonam Recto‐Vaginal Fistula Repair Cefazolin + Flagyl Clindamycin + Gentamicin Rectus Flap Cefazolin Vancomycin Rectus Free Flap Cefazolin Vancomycin Refractive Lens Exchange None Indicated None Indicated Renal Artery Angioplasty w/Stent Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Renal Artery Bypass Graft Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Renal Biopsy Open Cefazolin Clindamycin + Gentamicin Renal Cyst Decortication Cefazolin Clindamycin + Gentamicin Renal Cyst Decortication Laparoscopic Cefazolin Clindamycin + Gentamicin Renal Tumor Cryoablation Laparoscopic Cefazolin Clindamycin + Gentamicin Retinal Detach Prophylaxis Cryo Diatherm None Indicated None Indicated Retinal Detach Prophylaxis Photocoag None Indicated None Indicated Retinopathy Tx 1/more Session Photocoag None Indicated None Indicated Retroperitoneal Lymph Node Diss Laparosc Cefazolin Clindamycin + Gentamicin Retroperitoneal Lymph Node Dissection Cefazolin Clindamycin + Gentamicin Retroperitoneal Mass Resection Cefazolin + Flagyl Clindamycin + Aztreonam Retroperitoneal Mass Resection Laparosc Cefazolin Vancomycin Retroperitoneal Mass Resection Robotic Cefazolin Clindamycin + Gentamicin Retroperitoneal Mass Resection w/HIPEC Cefazolin + Flagyl Clindamycin + Aztreonam Rhinectomy None Indicated None Indicated Rhinoplasty Not Indicated Not Indicated Rhinoplasty w/Major Septal Repair Cefazolin + Flagyl Clindamycin Rhizotomy w/Balloon Compression Cefazolin, Add Vanc if MRSA Risk Vancomycin Rhizotomy w/Balloon Compression Axiem Cefazolin, Add Vanc if MRSA Risk Vancomycin Rhizotomy w/Glycerol Cefazolin, Add Vanc if MRSA Risk Vancomycin Rhizotomy w/Radiofrequency Cefazolin, Add Vanc if MRSA Risk Vancomycin Rib Resection First Cefazolin Vancomycin Rib Resection First Supraclavicular Cefazolin Vancomycin Rib Resection First Transaxillary Cefazolin Vancomycin Rickham Reservoir Insertion Cefazolin, Add Vanc if MRSA Risk Vancomycin Rickham Reservoir Removal Cefazolin, Add Vanc if MRSA Risk Vancomycin RNS Placement Cefazolin, Add Vanc if MRSA Risk Vancomycin RNS Placement MRI/OR Cefazolin, Add Vanc if MRSA Risk Vancomycin RNS Replacement Cefazolin, Add Vanc if MRSA Risk Vancomycin RNS Study Battery Change Cefazolin, Add Vanc if MRSA Risk Vancomycin Ross Procedure Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Rotator Cuff Repair Open Cefazolin Vancomycin Roux‐en‐Y Cefazolin + Flagyl Clindamycin + Aztreonam Roux‐en‐Y Laparoscopic Cefazolin + Flagyl Vancomycin + Aztreonam Rtnl Det Rpr SclrlBuckCryoPhotocoagDrain None Indicated None Indicated Rtnl Dtch Rpr Vit A/dlsrCryoRmvlLens None Indicated None Indicated Sacral Corpectomy Posterior Cefazolin, Add Vanc if MRSA Risk Vancomycin Sacral Nerve Stimulation Ask Proceduralist if Necessary Sacrospinous Ligament Fixation Cefazolin Clindamycin + Gentamicin Sagittal Split Osteotomy Bilateral Cefazolin Clindamycin Salivary Duct Biopsy Cefazolin + Flagyl Clindamycin Salivary Gland Excision Cefazolin + Flagyl Clindamycin Salpingectomy None Indicated None Indicated Salpingectomy Laparoscopic None Indicated None Indicated Salpingogram Hysteroscopic None Indicated None Indicated Salpingogram Laparoscopic/Hysteroscopic None Indicated None Indicated Salpingo‐Oophorectomy None Indicated None Indicated Salpingo‐Oophorectomy Laparoscopic None Indicated None Indicated Salpingo‐Oophorectomy Robotic None Indicated None Indicated Salpingo‐Oophorectomy Robotic Single Incision None Indicated None Indicated SanBio Stromal Cell Stroke Study Cefazolin, Add Vanc if MRSA Risk Vancomycin Saphenous Vein Ablation VNUS Ask Proceduralist if Necessary Scaphoid Excision w/ 4‐Corner Fusion and Bone Graft None Indicated None Indicated Revision 7/24/2019

Scaphoid Repair None Indicated None Indicated Scapular Free Flap Cefazolin Vancomycin Scapular Resection None Indicated None Indicated Scapulothoracic Arthroscopic Debridement None Indicated None Indicated Scar Lysis Ask Proceduralist if Necessary Scar Revision Cefazolin Vancomycin Sciatic Neuroplasty Cefazolin, Add Vanc if MRSA Risk Vancomycin Scleral Buckle Insertion None Indicated None Indicated Scleral Buckle Removal None Indicated None Indicated Scleral Buckle/Vitrectomy Posterior None Indicated None Indicated Scleral Reinforcement w/Graft None Indicated None Indicated Scleral Repair None Indicated None Indicated Scrotal Exploration Cefazolin Clindamycin + Gentamicin Scrotal Skin Excision Cefazolin Clindamycin + Gentamicin Sebaceous Cyst Excision MP None Indicated None Indicated Secondary Closure Wound Ask Proceduralist if Necessary Sectorectomy Laparoscopic Ask Proceduralist if Necessary Segmental Maxillary Osteotomy None Indicated None Indicated Sentinel Node Biopsy Ask Proceduralist if Necessary Septoplasty Cefazolin Clindamycin Septoplasty Open Cefazolin Clindamycin Septoplasty w/Turbinate Reduction None Indicated None Indicated Septoplasty/Turbinectomy Cefazolin Vancomycin Septorhinoplasty None Indicated None Indicated Sesamoid Excision None Indicated None Indicated Shoulder Acromioclavicular Joint Repair Cefazolin Vancomycin Shoulder Amputation Forequarter Cefazolin Vancomycin Shoulder Arthroscopy None Indicated None Indicated Shoulder Arthroscopy Labral Repair Cefazolin Vancomycin Shoulder Arthroscopy w/AC Joint Resection Cefazolin Vancomycin Shoulder Arthroscopy w/Biceps Tenodesis Cefazolin Vancomycin Shoulder Arthroscopy w/Cuff Repair Cefazolin Vancomycin Shoulder Arthroscopy/Distal Clavicle Res Cefazolin Vancomycin Shoulder Arthroscopy/Mumford Procedure Cefazolin Vancomycin Shoulder Arthroscopy/Subacromial Decomp Cefazolin Vancomycin Shoulder Bankart Cefazolin Vancomycin Shoulder Capsulorrhaphy Cefazolin Vancomycin Shoulder Disarticulation Cefazolin Vancomycin Shoulder Hemiarthroplasty Cefazolin, Add Vanc if MRSA Risk Vancomycin Shoulder I&D Cefazolin Vancomycin Shoulder Injection None Indicated None Indicated Shoulder Labral Debridement Cefazolin Vancomycin Shoulder Labral Repair Cefazolin Vancomycin Shoulder Lysis of Adhesions None Indicated None Indicated Shoulder Manipulation Cefazolin Vancomycin Shoulder Mass Excision Cefazolin Vancomycin Shoulder Mass/Soft Tissue Excision Cefazolin Vancomycin Shoulder Mass/Soft Tissue Rad Excision Cefazolin Vancomycin Shoulder ORIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Shoulder Reconstruction Cefazolin, Add Vanc if MRSA Risk Vancomycin Shoulder SLAP Lesion Repair Cefazolin Vancomycin Shoulder Soft Tissue Resection Simple None Indicated None Indicated Shoulder Total /Humeral Head Resurfacing Cefazolin, Add Vanc if MRSA Risk Vancomycin Shoulder Total Replacement Cefazolin, Add Vanc if MRSA Risk Vancomycin Shoulder Total Replacement Reverse Cefazolin, Add Vanc if MRSA Risk Vancomycin Shoulder Total Replacement Revision Cefazolin, Add Vanc if MRSA Risk Vancomycin Shunt Removal Cefazolin, Add Vanc if MRSA Risk Vancomycin Shunt Revision Cefazolin, Add Vanc if MRSA Risk Vancomycin SI Joint Injection None Indicated None Indicated SI Joint RF None Indicated None Indicated Sialendoscopy Sialolithiasis OTO Cefazolin + Flagyl Clindamycin Sigmoidoscopy Flex w/Biopsy or Cyto None Indicated None Indicated Sigmoidoscopy Flex‐Hemor/Coag/Laser None Indicated None Indicated Sigmoidoscopy Flexible None Indicated None Indicated Sigmoidoscopy Flexible w/Dilation None Indicated None Indicated Sigmoidoscopy Flexible w/EMR None Indicated None Indicated Sigmoidoscopy Flexible w/Miniprobe None Indicated None Indicated Sigmoidoscopy Flex‐Polypectomy None Indicated None Indicated Sinuplasty Balloon None Indicated None Indicated Sinus Lift Cefazolin Clindamycin Sinusotomy Endoscopic None Indicated None Indicated Sinusotomy/Septoplasty None Indicated None Indicated Skin Flap None Indicated None Indicated Skin Graft Full Thickness Ask Proceduralist if Necessary Skin Graft Full Thickness Ask Proceduralist if Necessary Skin Graft Split Thickness Ask Proceduralist if Necessary Skin Graft Split Thickness Ask Proceduralist if Necessary Revision 7/24/2019

Skin Graft Split Thickness Cefazolin (+ Vanc for Implants) Vancomycin Skin Graft Split Thickness Ask Proceduralist if Necessary Skin Graft Split Thickness OTO Ask Proceduralist if Necessary Skin Lesion Excision Ask Proceduralist if Necessary Sling Operation for Stress Incontinence Cefazolin Clindamycin Sling Procedure Female Cefazolin Clindamycin Sling procedure male Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Sling Removal or Revision Cefazolin Clindamycin Small Bowel Enteroscopy None Indicated None Indicated Small Bowel Enteroscopy Colon None Indicated None Indicated Small Bowel Enteroscopy Double Balloon None Indicated None Indicated Small Bowel Enteroscopy Single Balloon None Indicated None Indicated Small Bowel Enteroscopy w/Biopsy None Indicated None Indicated Small Bowel Enteroscopy w/PEJ Placement None Indicated None Indicated Small Bowel Resection Cefazolin + Flagyl Clindamycin + Aztreonam Small Bowel Resection Laparoscopic Cefazolin + Flagyl Clindamycin + Aztreonam Soft Palate Lesion Excision None Indicated None Indicated Soft Palate Lesion Excision OTO None Indicated None Indicated Soft Tissue Mass Excision Ask Proceduralist if Necessary Soft Tissue Res/Complex Clos/Sentinel Bx Ask Proceduralist if Necessary Soft Tissue Resection/Complex Closure Ask Proceduralist if Necessary Special Procedure Ask Proceduralist if Necessary Spermatocelectomy Ask Proceduralist if Necessary Sphenoid Endoscopy None Indicated None Indicated Sphenoid Sinusotomy None Indicated None Indicated Sphenopalentine Block None Indicated None Indicated Sphincteroplasty Cefazolin + Flagyl Clindamycin + Aztreonam Sphincteroplasty Biliary Exploration Cefazolin + Flagyl Clindamycin + Aztreonam Sphincterotomy Ask Proceduralist if Necessary Spinal Cord AVM Repair Cefazolin, Add Vanc if MRSA Risk Vancomycin + Gentamcin (Clinda and Aztreonam if vanc allergic) Spinal Cord Stim Initial Placement Cefazolin, Add Vanc if MRSA Risk Vancomycin + Gentamcin (Clinda and Aztreonam if vanc allergic) Spinal Cord Stim Trial Lead Placement Cefazolin, Add Vanc if MRSA Risk Vancomycin + Gentamcin (Clinda and Aztreonam if vanc allergic) Spinal Cord Stimulator Implantation Cefazolin, Add Vanc if MRSA Risk Vancomycin + Gentamcin (Clinda and Aztreonam if vanc allergic) Spinal Cord Stimulator IPG Replacement Cefazolin, Add Vanc if MRSA Risk Vancomycin + Gentamcin (Clinda and Aztreonam if vanc allergic) Spinal Cord Stimulator Percutaneous Implantation Cefazolin, Add Vanc if MRSA Risk Vancomycin Spinal Cord Stimulator Removal Cefazolin, Add Vanc if MRSA Risk Vancomycin Spinal Cord Stimulator Revision Cefazolin, Add Vanc if MRSA Risk Vancomycin + Gentamcin (Clinda and Aztreonam if vanc allergic) Spinal Cord Tumor/Mass/Cyst Excision Cefazolin, Add Vanc if MRSA Risk Vancomycin Spine Cervical I&D Cefazolin, Add Vanc if MRSA Risk Vancomycin Spine Cervical I&D NEU Cefazolin, Add Vanc if MRSA Risk Vancomycin Spine Foreign Body Removal Cefazolin, Add Vanc if MRSA Risk Vancomycin Spine Hardware Removal Cefazolin, Add Vanc if MRSA Risk Vancomycin Spine I&D Cefazolin, Add Vanc if MRSA Risk Vancomycin Spine Lumbar I&D Cefazolin, Add Vanc if MRSA Risk Vancomycin Spine Thoracic I&D Cefazolin, Add Vanc if MRSA Risk Vancomycin Spine Thoracic/Lumbar I&D Cefazolin, Add Vanc if MRSA Risk Vancomycin Spine Thoracic/Lumbar I&D Cefazolin, Add Vanc if MRSA Risk Vancomycin Spine Wound Exploration/Revision Cefazolin, Add Vanc if MRSA Risk Vancomycin Spine Wound I&D/Washout Cefazolin, Add Vanc if MRSA Risk Vancomycin Splenectomy Cefazolin Vancomycin Splenectomy Laparoscopic None Indicated None Indicated Splenectomy Robotic None Indicated None Indicated STAMCA Bypass Cefazolin, Add Vanc if MRSA Risk Vancomycin Stapedectomy Cefazolin, Add Vanc if MRSA Risk Clindamycin Stapedectomy/Stapedotomy Cefazolin, Add Vanc if MRSA Risk Clindamycin Stapedotomy Cefazolin, Add Vanc if MRSA Risk Clindamycin Stem Cell Study None Indicated None Indicated Sternal Debridement Ask Proceduralist if Necessary Sternal Debridement w/Muscle Flap Cefazolin Vancomycin Sternal I&D Cefazolin Vancomycin Sternal I&D THO Cefazolin, Add Vanc if MRSA Risk Vancomycin Sternal Repair Ask Proceduralist if Necessary Sternal Re‐wiring Ask Proceduralist if Necessary Sternal Wire Removal Ask Proceduralist if Necessary Sternotomy Repeat Ask Proceduralist if Necessary Stimulator Implantation Cefazolin, Add Vanc if MRSA Risk Vancomycin Stimulator Revision Cefazolin, Add Vanc if MRSA Risk Vancomycin STJ Arthrodesis/Gastrocnemius Recession Cefazolin (+ Vanc for Implants) Vancomycin Stoma Revision Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Strabismus Surg Scarred Muscle/Myopathy None Indicated None Indicated Strabismus Surgery None Indicated None Indicated Strabismus Surgery one vertical muscle None Indicated None Indicated Strabismus Surgery two horizontal muscle None Indicated None Indicated Strabismus Surgery Two/more Vert Muscles None Indicated None Indicated STRETTA Cefazolin, Add Vanc if MRSA Risk Vancomycin Stylohyoid Ligament Resection Cefazolin Clindamycin Stylohyoid Process Transcervical Resect Cefazolin Clindamycin Revision 7/24/2019

Subacromial Decompression None Indicated None Indicated Subaortic IHSS Membrane Resection Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Subclavian Artery Repair Cefazolin Vancomycin Subclavian Bypass Graft Cefazolin Vancomycin Subclavian Endo Stent Cefazolin Vancomycin Submandibular Gland Excision Cefazolin Clindamycin Submandibular Gland Excision None Indicated None Indicated Submucous Resection Turbinates None Indicated None Indicated Suboccipital Craniotomy w/C1 Laminectomy Cefazolin, Add Vanc if MRSA Risk Vancomycin Subretinal Surgery None Indicated None Indicated Subscapularis Repair Cefazolin Vancomycin Subtalar Fusion Cefazolin Vancomycin Suburethral Diverticulum Repair Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Suprapubic Catheter Change Ask Proceduralist if Necessary Suprapubic Catheter Placement Ask Proceduralist if Necessary Suprapubic Catheter Placement Open Ask Proceduralist if Necessary Surgical Assist Rapid Palatal Expansion Cefazolin + Flagyl Clindamycin Suture Removal Subcutaneous None Indicated None Indicated Sympathectic Block Lumbar None Indicated None Indicated Sympathectomy Cefazolin Vancomycin Sympathectomy Cefazolin Vancomycin Sympathectomy Thoracoscopic Cefazolin Vancomycin Sympathectomy Thoracoscopic Pancreatitis Cefazolin Vancomycin Synechiolysis Posterior None Indicated None Indicated Synovectomy Anterior None Indicated None Indicated Synovectomy Posterior None Indicated None Indicated TAMIS Procedure None Indicated None Indicated Tandem and Ovoids None Indicated None Indicated Tarsal Coalition Excision Ostectomy None Indicated None Indicated Tarsal Tunnel Release None Indicated None Indicated Teeth Extraction Cefazolin Clindamycin Temporal Artery Biopsy Ask Proceduralist if Necessary Temporal Artery Biopsy MP Ask Proceduralist if Necessary Temporal Bone Resection None Indicated None Indicated Temporalis Muscle Fascia Flap Cefazolin Vancomycin Temporary Dialysis Catheter Insertion Ask Proceduralist if Necessary Tenchkoff Catheter Insertion Pre‐Sternal Ask Proceduralist if Necessary Tenckhoff Catheter Insert Laparoscopic None Indicated None Indicated Tenckhoff Catheter Insertion Ask Proceduralist if Necessary Tenckhoff Catheter Removal None Indicated None Indicated Tendon Lengthening/Shortening Leg/Ankle None Indicated None Indicated Tendon Transfer/Release/Repair None Indicated None Indicated Tendon Transplantation/Transfer None Indicated None Indicated Tenosynovectomy None Indicated None Indicated Tension Free Vaginal Tape Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Testicular Biopsy Ask Proceduralist if Necessary Testicular Sperm Aspiration Microscopy Ask Proceduralist if Necessary Thalamotomy Cefazolin, Add Vanc if MRSA Risk Vancomycin Thigh Excision Soft Tissue mass None Indicated None Indicated Thigh I & D Ask Proceduralist if Necessary Thigh Lift None Indicated None Indicated Third Ventriculostomy Endoscopic Cefazolin, Add Vanc if MRSA Risk Vancomycin Thoracentesis w/Chest Ultrasound None Indicated None Indicated Thoracic Corpectomy Cefazolin, Add Vanc if MRSA Risk Vancomycin Thoracic Decompression SpCord/Nerve Root Cefazolin, Add Vanc if MRSA Risk Vancomycin Thoracic Discectomy/Corpectomy Fusi Ant Cefazolin, Add Vanc if MRSA Risk Vancomycin Thoracic Endo Stent Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Thoracic Endo Stent Artis Cefazolin Vancomycin Thoracic Endo Stent Transapical Cefazolin Vancomycin Thoracic ESI None Indicated None Indicated Thoracic Facet Injection None Indicated None Indicated Thoracic Fusion Anterior Cefazolin, Add Vanc if MRSA Risk Vancomycin Thoracic Fusion Posterior Cefazolin, Add Vanc if MRSA Risk Vancomycin Thoracic Hardware Revision/Removal Cefazolin, Add Vanc if MRSA Risk Vancomycin Thoracic IL ESI None Indicated None Indicated Thoracic Lam Spinal Cord Tumor/Mass/Cyst Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Thoracic Lam/Decompression Posterior Cefazolin, Add Vanc if MRSA Risk Vancomycin Thoracic Laminectomy Decompression Cefazolin, Add Vanc if MRSA Risk Vancomycin Thoracic Laminectomy Posterior Cefazolin, Add Vanc if MRSA Risk Vancomycin Thoracic MBB None Indicated None Indicated Thoracic RF None Indicated None Indicated Thoracic Transforaminal Injection None Indicated None Indicated Thoracoabdominal Aneurysm Repair w/Graft Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Thoracolumbar Fusion Posterior w/instr Cefazolin, Add Vanc if MRSA Risk Vancomycin Thoracolumbar Laminectomy w/instr Cefazolin, Add Vanc if MRSA Risk Vancomycin Thoracoscopy for Mediastinal Mass Cefazolin Vancomycin Thoracoscopy Robotic Cefazolin Vancomycin Revision 7/24/2019

Thoracoscopy VATS Cefazolin Vancomycin Thoracoscopy VATS/Decortication Cefazolin Vancomycin Thoracoscopy VATS/Diaphragm Plication Cefazolin Vancomycin Thoracoscopy VATS/Lobectomy Cefazolin Vancomycin Thoracoscopy VATS/Lung Biopsy Cefazolin Vancomycin Thoracoscopy VATS/Pericardial Window Cefazolin Vancomycin Thoracoscopy VATS/Pneumonectomy Cefazolin Vancomycin Thoracoscopy VATS/Thymectomy Cefazolin Vancomycin Thoracoscopy VATS/Wedge Resection Cefazolin Vancomycin Thoracoscopy/Pleurodesis Cefazolin Vancomycin Thoracoscopy/Thoracotomy/ Mediast/Bronch Cefazolin Vancomycin Thoracoscopy/Thoracotomy/Bronchoscopy Cefazolin Vancomycin Thoracotomy Cefazolin Vancomycin Thoracotomy Esophageal Perf Repair Cefazolin Vancomycin Thoracotomy Lobectomy Cefazolin Vancomycin Thoracotomy Pneumonectomy Cefazolin Vancomycin Thoracotomy Pneumonectomy Extrapleural Cefazolin Vancomycin Thoracotomy Robotic Cefazolin Vancomycin Thoracotomy Tracheal Resection Cefazolin Vancomycin Thoracotomy Wedge Resection Cefazolin Vancomycin Thrombectomy Ask Proceduralist if Necessary Thrombectomy Percutaneous Ask Proceduralist if Necessary Thrombectomy Percutaneous AVG/AVF Artis Ask Proceduralist if Necessary Thrombectomy w/ Clot Evacuation System Ask Proceduralist if Necessary Thumb Gamekeepers None Indicated None Indicated Thumb Replantation Cefazolin, Add Vanc if MRSA Risk Vancomycin Thymectomy Cefazolin Vancomycin Thymectomy Robotic Cefazolin Vancomycin Thyroglossal Duct Cyst Resection Cefazolin Vancomycin Thyroid Re‐exploration None Indicated None Indicated Thyroidectomy None Indicated None Indicated Thyroidectomy/Parathyroid Reimplantation None Indicated None Indicated Tibia Biopsy Saucerization Cefazolin Vancomycin Tibia Distal ORIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Tibia High Osteotomy None Indicated None Indicated Tibia IM Rod Cefazolin, Add Vanc if MRSA Risk Vancomycin Tibia Resection w/Stabilization Cefazolin, Add Vanc if MRSA Risk Vancomycin Tibia Tube Transfer None Indicated None Indicated Tibia/Fibula Distal ORIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Tibial Plateau ORIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Tibial Proximal/Plateau ORIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Tibial Resection w/Allograft Cefazolin, Add Vanc if MRSA Risk Vancomycin Tibialis Tendon Transfer None Indicated None Indicated Tissue Arrangement Local None Indicated None Indicated Tissue Expander Placement/Removal Cefazolin Vancomycin Tissue Expander Placement/Replacement Cefazolin Vancomycin Tissue Wide Excision None Indicated None Indicated TMJ Arthroplasty Cefazolin Clindamycin TMJ Arthroplasty/TMJ Prosthesis Cefazolin, Add Vanc if MRSA Risk Clindamycin TMJ Arthroscopy Cefazolin Clindamycin TMJ Coronoidectomy Cefazolin Clindamycin Toe Amputation Cefazolin Vancomycin Toe Arthrodesis None Indicated None Indicated Toe Percutaneous Pinning Cefazolin, Add Vanc if MRSA Risk Vancomycin Toenail Revision None Indicated None Indicated Tongue Biopsy Cefazolin + Flagyl Clindamycin Tongue Lesion Excision Cefazolin + Flagyl Clindamycin Tongue Release Cefazolin + Flagyl Clindamycin Tonsil Cauterization Cefazolin + Flagyl Clindamycin Tonsillectomy None Indicated None Indicated Tonsillectomy Lingual None Indicated None Indicated Tonsillectomy Pallatine None Indicated None Indicated Tonsillectomy/Adenoidectomy None Indicated None Indicated Tori Excision Cefazolin + Flagyl Clindamycin TORS Robotic Cefazolin + Flagyl Clindamycin Trabeculectomy None Indicated None Indicated Trabeculectomy Ab Externo Scar Prev Surg None Indicated None Indicated Tracheal Dilatation None Indicated None Indicated Tracheal Fistula Repair/Closure None Indicated None Indicated Tracheal Resection None Indicated None Indicated Tracheal Resection Cervical Cefazolin Vancomycin Tracheal Stent Placement Cefazolin Vancomycin Trachelectomy Cefazolin Clindamycin Tracheobronchoscopy None Indicated None Indicated Tracheobronchoscopy Diagnostic None Indicated None Indicated Tracheoesophageal Puncture None Indicated None Indicated Tracheostoma Revision None Indicated None Indicated Revision 7/24/2019

Tracheostomy Cefazolin Vancomycin Tracheostomy Initial Cefazolin Vancomycin Tracheostomy Percutaneous Cefazolin Vancomycin Tracheotomy None Indicated None Indicated Tracheotomy Tube Change None Indicated None Indicated Transanal Endoscopic Microsurgery Ask Proceduralist if Necessary Transanal Resection Ask Proceduralist if Necessary Transanal Resection MIS Ask Proceduralist if Necessary Transesophageal Echocardiogram None Indicated None Indicated Transmetatarsal amputation None Indicated None Indicated Transmyocardial Recularization Robot Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Transoral Odontoidectomy Cefazolin, Add Vanc if MRSA Risk Vancomycin Transoral Resection of Styloid Process None Indicated None Indicated Transplant Nephrectomy Cefazolin Vancomycin + Aztreonam Transrectal Ultrasound None Indicated None Indicated Trial Epidural Stimulator Electrode Ins Cefazolin, Add Vanc if MRSA Risk Vancomycin Triceps Repair Distal Open None Indicated None Indicated Trichiasis Epilation None Indicated None Indicated Tricuspid Valve Repair Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Trigeminal Nerve Block None Indicated None Indicated Trigeminal Nerve RF None Indicated None Indicated Trigger Point Injection None Indicated None Indicated Triple Arthrodesis None Indicated None Indicated Triple Arthrodesis/Calcaneus None Indicated None Indicated Trochanteric Bursa Injection None Indicated None Indicated Tubal Ligation None Indicated None Indicated Tubal Ligation Essure None Indicated None Indicated Tubal Ligation Laparoscopic None Indicated None Indicated Tubal Ligation Postpartum None Indicated None Indicated Tubal Reanastomosis Laparoscopic None Indicated None Indicated Tubal Reanastomosis Robotic None Indicated None Indicated Tumor Debulking Cefazolin Clindamycin Tumor Resection Infratemporal Approach Cefazolin, Add Vanc if MRSA Risk Vancomycin Tumor Wide Excision w STSG Ask Proceduralist if Necessary Turbinate Cauterization None Indicated None Indicated Turbinate Resection None Indicated None Indicated Turbinectomy None Indicated None Indicated TURBT Cefazolin Clindamycin + Gentamicin TURP Cefazolin Clindamycin + Gentamicin TURP w/Green Light Laser Cefazolin Clindamycin + Gentamicin TVR Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam TVR Robotic Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Tympanoplasty None Indicated None Indicated Tympanoplasty w/Mastoidectomy None Indicated None Indicated Ulnar Nerve Decompression Cefazolin, Add Vanc if MRSA Risk Vancomycin Ulnar Nerve Transposition Cefazolin, Add Vanc if MRSA Risk Vancomycin Ulnar Transposition Nerve None Indicated None Indicated Umbilical Hernia Repair Cefazolin Vancomycin Umbilical Hernia Repair Laparoscopic Cefazolin Vancomycin Umbilicoplasty Cefazolin Vancomycin Ureter Reimplantation Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Ureteral Reimplantation Robotic Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Ureterectomy Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Ureterolithotomy w/Stent Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Ureteroureterostomy Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Urethral Dilatation Cefazolin Clindamycin + Gentamicin Urethral Diverticulectomy w/Martius Flap Cefazolin, ask proceduralist if additional antibioticClindamycin Urethral Diverticulum Excision Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Urethrectomy Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Urethrocutaneous Fistula Repair Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Urethrolysis Vaginal Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Urethroplasty Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Urethroscopy Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Urethrostomy Perineal Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Urethrotomy Ask Proceduralist if Necessary Urethrovaginal Fistula Repair Cefazolin, ask proceduralist if additional antibioticClindamycin Urinary Diversion Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin US Thoracentesis None Indicated None Indicated Uterine Septum Resection None Indicated None Indicated Uterosacral Ligament Suspension Laparoscopic Cefazolin Clindamycin Uterosacral Ligament Suspension Vaginal Cefazolin Clindamycin Uvulectomy Cefazolin + Flagyl Clindamycin Uvulopalatopharyngoplasty Cefazolin + Flagyl Clindamycin VA Shunt Insertion Cefazolin, Add Vanc if MRSA Risk Vancomycin VA Shunt Insertion Axiem Cefazolin, Add Vanc if MRSA Risk Vancomycin VA Shunt Removal Cefazolin, Add Vanc if MRSA Risk Vancomycin VA Shunt Revison Cefazolin, Add Vanc if MRSA Risk Vancomycin Revision 7/24/2019

Vagal Nerve Cuff Insertion Ask Proceduralist if Necessary Vaginal Biopsy None Indicated None Indicated Vaginal Foreign Body Removal/Excision Ask Proceduralist if Necessary Vaginal I&D None Indicated None Indicated Vaginal Lesion Ablation None Indicated None Indicated Vaginal Mass/Soft Tissue Excision None Indicated None Indicated Vaginal Mesh Exicision Cefazolin Clindamycin Vaginal Septum Resection None Indicated None Indicated Vaginal Sling/Mesh Excision Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Vaginal Vault Prolapse Repair None Indicated None Indicated Vaginectomy Partial None Indicated None Indicated Vaginoplasty None Indicated None Indicated Vagus Nerve Stimulator Insertion Cefazolin, Add Vanc if MRSA Risk Vancomycin Vagus Nerve Stimulator IPG Replacement Cefazolin, Add Vanc if MRSA Risk Vancomycin Vagus Nerve Stimulator Removal Cefazolin, Add Vanc if MRSA Risk Vancomycin Vagus Nerve Stimulator Revision Cefazolin, Add Vanc if MRSA Risk Vancomycin Varicocelectomy Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Varicocelectomy Laparoscopic Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Vascular Access Device Exhange Ask Proceduralist if Necessary Vascular Access Device Insertion Ask Proceduralist if Necessary Vein Ligation Ask Proceduralist if Necessary Vein Patch Angioplasty Ask Proceduralist if Necessary Vein Stripping Ask Proceduralist if Necessary Vena Cava Filter Placement Ask Proceduralist if Necessary Vena Cava Filter Retrieval Ask Proceduralist if Necessary Vena Cava Reconstruction Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Venogram Ask Proceduralist if Necessary Ventral Hernia Repair Cefazolin Vancomycin Ventral Hernia Repair Laparoscopic Cefazolin Vancomycin Ventral Hernia Repair ONC Cefazolin Vancomycin Ventral Hernia Repair Robotic Cefazolin Vancomycin Ventricular Aneurysm Reconstruction Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Ventricular Assist Device Insertion Vancomycin + Levofloxacin Vancomicin + Gent (if eGFR>50) or Aztreonam Ventricular Assist Device Removal Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Ventricular Septal Defect Repair Cefuroxime, Add Vanc if MRSA Risk Vancomycin + Gent (if eGFR>50) or Aztreonam Ventriculocisternostomy 3rd Ventricle Cefazolin, Add Vanc if MRSA Risk Vancomycin Vertebral Endarterectomy Cefazolin Vancomycin. Add Gent if abdominal aorta or groin incision Vertebroplasty Cefazolin Vancomycin Vesicocutaneous Fistula Repair Cefazolin, ask proceduralist if additional antibioticClindamycin + Gentamicin Vesicolithotomy Cefazolin, Add Gent for prosthetic material Clindamycin + Gentamicin Vesicovaginal Fistula Closure Vag App Cefazolin, ask proceduralist if additional antibioticClindamycin + Gentamicin Vesicovaginal Fistula Repair Cefazolin, ask proceduralist if additional antibioticClindamycin + Gentamicin Vesicovaginal Fistula Repair Abdominal Cefazolin + Flagyl Clindamycin + Aztreonam Vestibulectomy None Indicated None Indicated Vestibuloplasty Cefazolin + Flagyl Clindamycin Vitrectomy Anterior None Indicated None Indicated Vitrectomy Complex Retinal Detachment None Indicated None Indicated Vitrectomy Pars Plana Mechanical None Indicated None Indicated Vitrectomy Posterior None Indicated None Indicated Vitrectomy PP Rmvl PreretinalCellularMem None Indicated None Indicated Vitrectomy w/Focal Laser None Indicated None Indicated Vitrectomy w/IOL Implant None Indicated None Indicated Vitrectomy w/No Surface Work None Indicated None Indicated Vitrectomy w/Panretinal Laser None Indicated None Indicated Vitrectomy/ILM Peel for Macular Hole None Indicated None Indicated Vitreous Fluid Aspir/Release PP APP None Indicated None Indicated Vitreous Rmvl Anterior App Subtotal Mech None Indicated None Indicated VP Shunt Insertion Cefazolin, Add Vanc if MRSA Risk Vancomycin VP Shunt Insertion Axiem Cefazolin, Add Vanc if MRSA Risk Vancomycin VP Shunt Lap Assist Axiem Cefazolin, Add Vanc if MRSA Risk Vancomycin VP Shunt Lap Assist Revision Axiem Cefazolin, Add Vanc if MRSA Risk Vancomycin VP Shunt Laparoscopic Assisted Cefazolin, Add Vanc if MRSA Risk Vancomycin VP Shunt Laparoscopic Assisted Revision Cefazolin, Add Vanc if MRSA Risk Vancomycin VP Shunt Neonate Cefazolin, Add Vanc if MRSA Risk Vancomycin VP Shunt Removal Cefazolin, Add Vanc if MRSA Risk Vancomycin VP Shunt Revision Cefazolin, Add Vanc if MRSA Risk Vancomycin VP Shunt Revision Axiem Cefazolin, Add Vanc if MRSA Risk Vancomycin VP Shunt Revision Stealth Cefazolin, Add Vanc if MRSA Risk Vancomycin VP Shunt Stealth Cefazolin, Add Vanc if MRSA Risk Vancomycin Vulva Perineal Abscess I and D None Indicated None Indicated Vulval Mass/Soft Tissue Excision None Indicated None Indicated Vulvar Lesion Destruction Extensive None Indicated None Indicated Vulvar lesion Laser Ablation None Indicated None Indicated Vulvectomy Complete None Indicated None Indicated Vulvectomy Partial None Indicated None Indicated Vulvectomy Radical None Indicated None Indicated Vulvectomy Radical Complete None Indicated None Indicated Revision 7/24/2019

Vulvectomy Simple None Indicated None Indicated Whipple Cefazolin + Flagyl Clindamycin + Aztreonam Whipple Procedure Robotic Cefazolin + Flagyl Clindamycin + Aztreonam Wound Debridement Ask Proceduralist if Necessary Wound Exploration/Revision Ask Proceduralist if Necessary Wound Exploration/Revision NEU Cefazolin, Add Vanc if MRSA Risk Vancomycin Wound I&D/Washout NEU Cefazolin, Add Vanc if MRSA Risk Vancomycin Wound Wash Out Ask Proceduralist if Necessary Wrist Arthrodesis None Indicated None Indicated Wrist Arthroscopy None Indicated None Indicated Wrist Closed Reduction Percutaneous Pin Cefazolin, Add Vanc if MRSA Risk Vancomycin Wrist Denervation PIN/AIN None Indicated None Indicated Wrist Extensor Carpi Ulnaris Repair None Indicated None Indicated Wrist Fusion Bowers Resection None Indicated None Indicated Wrist ORIF Cefazolin, Add Vanc if MRSA Risk Vancomycin Wrist Percutaneous Pinning Cefazolin, Add Vanc if MRSA Risk Vancomycin Wrist Row Carpectomy None Indicated None Indicated Wrist Triangular Fibrocartilage Complex Repair None Indicated None Indicated Wrist/Hand Excision Soft Tissue Mass None Indicated None Indicated Wrist/Hand Excision Soft Tissue Simple None Indicated None Indicated Z‐plasty None Indicated None Indicated Zygoma ORIF Cefazolin, Add Vanc if MRSA Risk Clindamycin