Surgical classes

Question 1

Surgically sterile without exposure to GI/GU or foreign/non-sterile debris

Answer 1

Class 1 (clean)

Question 2

Intentional, controlled entry into the GI/GU tract

Answer 2

Class 2 (clean contaminated)

Question 3

Acute inflammation or no sterile debris in the field

Answer 3

Class 3 (contaminated)

Question 4

Surgical management of abscess or perforated bowel

Answer 4

Class 4 (dirty, infected)

Question 5

What class does laparotomy go to?

Answer 5

Class 1 (clean)

Question 6

What class does hysterectomy go to?

Answer 6

Class 2 (clean contaminated)

Question 7

What class does enterotomy go to?

Answer 7

Class 3 (contaminated)

Question 8

What class does ruptured TOA go to?

Answer 8

Class 4 (dirty, infected)

Question 9

Antibiotic options for hysterecomt

Answer 9

• Cefazolin 2-3g IV (alternatives include Cefotetan, Cefoxitin, Cefuroxime, Amp-Sulbactam
• Clindamycin 600mg IV plus Gent 1.5mg/kg, Quinolone 400mg IV, or Aztrenam 1gIV (agents of choice for women w PCN allergy)
• Metronidazole 500mg IV plus Gent 1.5mg/kg or Quinolone 400mg IV

Question 10

When do you dose 3g of Cefazolin instead of 2g?

Answer 10

When the BMI is greater than 35 or weight greater than 100kg

Question 11

Antibiotic for hysterosalpingogram or chromotubation

Answer 11

Doxycycline 100mg PO BID x5 days (no treatment needed if tubes are not dilated or no h/o PID)

Question 12

Antibiotic for induced abortion (Including D&E)

Answer 12

Doxycycline 100mg PO, 1hr before procedure or Metronidazole 500mg BID x5days

Question 13

Do you give abx for urodynamics?

Answer 13

No