Surgeon choice in the use of postdischarge antibiotics for prophylaxis following mastectomy with and without breast reconstruction.

Autor: Warren DK; Division of Infectious Diseases, Washington University School of Medicine, St Louis, Missouri., Nickel KB; Division of Infectious Diseases, Washington University School of Medicine, St Louis, Missouri., Hostler CJ; Duke Center for Antimicrobial Stewardship and Infection Prevention, Duke University School of Medicine, Durham, North Carolina.; Infectious Diseases Section, Durham VA Health Care System, Durham, North Carolina., Foy K; Duke Center for Antimicrobial Stewardship and Infection Prevention, Duke University School of Medicine, Durham, North Carolina., Han JH; Division of Infectious Diseases, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.; Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.; Present affiliation: GlaxoSmithKline, Rockville, Maryland., Tolomeo P; Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania., Banks IR; Division of Infectious Diseases, Washington University School of Medicine, St Louis, Missouri., Fraser VJ; Division of Infectious Diseases, Washington University School of Medicine, St Louis, Missouri., Olsen MA; Division of Infectious Diseases, Washington University School of Medicine, St Louis, Missouri.; Division of Public Health Sciences, Washington University School of Medicine, St. Louis, Missouri.
Jazyk: angličtina
Zdroj: Infection control and hospital epidemiology [Infect Control Hosp Epidemiol] 2021 Apr; Vol. 42 (4), pp. 467-470. Date of Electronic Publication: 2020 Oct 12.
DOI: 10.1017/ice.2020.462
Abstrakt: Multiple guidelines recommend discontinuation of prophylactic antibiotics <24 hours after surgery. In a multicenter, retrospective cohort of 2,954 mastectomy patients ± immediate breast reconstruction, we found that utilization of prophylactic postdischarge antibiotics varied dramatically at the surgeon level among general surgeons and was virtually universal among plastic surgeons.
Databáze: MEDLINE