SURGICAL ANTIBIOTIC PROPHYLAXIS

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<strong>ANTIBIOTIC</strong> SELECTION • Vancomycin – Utilized as prophylaxis in institutions in which methicillin resistant S. aureus and S. epidermidis are a frequent cause of postoperative wound infection – Utilized in patients with documented allergies to Penicillins and cephalosporins – Increased empiric use likely contributes to the development of vancomycin resistant enterococcus (VRE)
<strong>ANTIBIOTIC</strong> SELECTION • Surgical procedures which enter the gastrointestinal, oropharyngeal, genitourinary, biliary, or tracheobronchial tracts and result in spillage of bacteria require increased gram negative and anaerobic coverage. – Cefoxitin or cefotetan alone – Clindamycin with aminoglycoside – Metronidazole with cefazolin – Broad spectrum agents are frequently utilized for prophylaxis as monotherapy - Unasyn, Timentin, Zosyn, Primaxin, Merrem
Page 1 and 2: SURGICAL ANTIBIOTIC PROPHYLAXIS Ste
Page 3 and 4: INTRODUCTION • Approximately 23 m
Page 5 and 6: INTRODUCTION • Controversies rega
Page 7 and 8: DEFINITIONS • Surgical wound infe
Page 9 and 10: WOUND CLASSIFICATION • Clean - SW
Page 11 and 12: WOUND CLASSIFICATION • Contaminat
Page 13 and 14: IDENTIFIED RISK FACTORS • Inciden
Page 15 and 16: ASA RISK FACTORS Class Description
Page 17 and 18: RISK FACTORS • Surgery related fa
Page 19 and 20: ANTIBIOTICS USE Procedure Open Hear
Page 21 and 22: ANTIBIOTIC USE • Appropriate anti
Page 23 and 24: ANTIBIOTIC SELECTION • Nose - S.
Page 25: ANTIBIOTIC SELECTION • Cefazolin
Page 29 and 30: ANTIBIOTIC SELECTION • Bacterial
Page 31 and 32: ANTIBIOTIC USE • Timing of antibi
Page 33 and 34: ENDOCARDITIS PROPHYLAXIS • Patien
Page 35 and 36: SUMMARY • Surgical prophylaxis ca
Page 37 and 38: SUMMARY • Several risk factors co

SURGICAL ANTIBIOTIC PROPHYLAXIS

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