EDITORIAL Continuing Refinements in Surgical Antibiotic Prophylaxis HE RECENT ARTICLE ON ANTIBIOTIC PROPHY- est point of view believe that discontinuing the drugs af- laxis by Bratzler et al is a treasure trove of ter less than 24 hours is best and that a single dose of important information about the stan- preoperative prophylaxis applies in many cases. How- dards of surgical practice that are increas- ever, it is the prolonged use of antimicrobial prophy- T ingly likely to become part of a quality tem- laxis that is the ultimate danger to the hospital ecologi- plate for the practice of elective surgery. Given both the cal system. Again, it looks as if on-time administration format and the extended nature of the article, some of its is better than one might first assume. The discontinua- points could easily be overlooked and/or misunderstood. tion of prophylaxis is also better than it initially looks if Another article from this group has been published and you grant surgical practitioners credit for the discon- republished because of the important message. tinuation of drugs in the second 24-hour period and if For example, one could read that only 56% of pa- your drug choices are good
JAMA Surgery – American Medical Association
Published: Nov 1, 2005
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