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

Published online by Cambridge University Press:  12 October 2020

David K. Warren Open the ORCID record for David K. Warren [Opens in a new window] ,
Katelin B. Nickel Open the ORCID record for Katelin B. Nickel [Opens in a new window] ,
Christopher J. Hostler Open the ORCID record for Christopher J. Hostler [Opens in a new window] ,
Katherine Foy ,
Jennifer H. Han ,
Pam Tolomeo Open the ORCID record for Pam Tolomeo [Opens in a new window] ,
Ian R. Banks ,
Victoria J. Fraser Open the ORCID record for Victoria J. Fraser [Opens in a new window] ,
Margaret A. Olsen Open the ORCID record for Margaret A. Olsen [Opens in a new window]  and
for the CDC Prevention Epicenter Program
David K. Warren
Affiliation:
Division of Infectious Diseases, Washington University School of Medicine, St Louis, Missouri
Katelin B. Nickel
Affiliation:
Division of Infectious Diseases, Washington University School of Medicine, St Louis, Missouri
Christopher J. Hostler
Affiliation:
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
Katherine Foy
Affiliation:
Duke Center for Antimicrobial Stewardship and Infection Prevention, Duke University School of Medicine, Durham, North Carolina
Jennifer H. Han
Affiliation:
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
Pam Tolomeo
Affiliation:
Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
Ian R. Banks
Affiliation:
Division of Infectious Diseases, Washington University School of Medicine, St Louis, Missouri
Victoria J. Fraser
Affiliation:
Division of Infectious Diseases, Washington University School of Medicine, St Louis, Missouri
Margaret A. Olsen*
Affiliation:
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
*
Author for correspondence: Margaret A. Olsen, E-mail: molsen@wustl.edu.
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Abstract

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.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 42 , Issue 4 , April 2021 , pp. 467 - 470
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Copyright
© 2020 by The Society for Healthcare Epidemiology of America. All rights reserved.

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References

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