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Wheeless' Textbook of Orthopaedics
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Cefonicid/Monocid





- Second Generation Ceph
- Semisynthetic cephalosporin: for surgical prophylaxis:
- 1gm 1hr given preoperatively;
- Severe infections: 2gm qd IV/IM;
- Mild to Moderate infections: 1gm qd IV/IM;
- Uncomplicated UTI: 500mg qd IV/IM;
- Dosing Regimens for Patients with Renal Insufficiency: (Dose for 70kg
    Adult{gm/dosing interval in hours}):CrCl: >80::1/24;; CrCl:50-79::
    1/24;; CrCl:30-49::1/24;; CrCl:10-29::1/48;;
    - 99 % of dose will be excreted in urine;
  Cefonicid, because of its long half-life of 4.5 hours, has been used
  successfully in a regimen in which it is administered once a day to
  treat a variety of mild to moderate infections, including
  community-acquired pneumonias, urinary tract infections, and infections
  of the skin and soft tissue;
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Prophylaxis against infection. Single-dose cefonicid compared with
  multiple-dose cefamandole.
Duration of preventive antibiotic administration for open extremity
  fractures.




Original Text by Clifford R. Wheeless, III, MD.