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Antibiotic therapy along with mechanical cleansing is essential for effective preoperative preparation of the large intestine. The antibiotics most frequently employed are kanamycin (10m every hour for 4 hours, and then every 6 hours for a total of 72 hours) and Sulfathalidine-neornycin in combination (every hour for 4 hours, and then every 4 hours for a total of 72 hours). Nichols et al. employ a combination of neomycin and erythromycin base in a three-day cleansing protocol which differs in administering the antibiotic on the third day only. One gram of each is given at 1:00, 2:00, and 11:00 P.M.; the operation is scheduled for 8:00 A.M.

Author Dr Santosh Guptha Associated withICD10 Training

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