4.4 Article

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

期刊

INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
卷 42, 期 4, 页码 467-470

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CAMBRIDGE UNIV PRESS
DOI: 10.1017/ice.2020.462

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资金

  1. Centers for Disease Control and Prevention [U54CK000482]
  2. Clinical and Translational Science Award (CTSA) [UL1 TR000448]
  3. Siteman Comprehensive Cancer Center
  4. NCI Cancer Center [P30 CA091842]

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The study found that there was significant variation in the use of post-discharge prophylactic antibiotics among general surgeons, while plastic surgeons almost universally utilized them.
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.

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