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Risk of surgical site infection, acute kidney injury, and Clostridium difficile infection following antibiotic prophylaxis with vancomycin plus a beta-lactam versus either drug alone: A national propensity-score-adjusted retrospective cohort study.


ABSTRACT:

SUBMITTER: Branch-Elliman W 

PROVIDER: S-EPMC5503171 | biostudies-literature | 2017 Jul

REPOSITORIES: biostudies-literature

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Risk of surgical site infection, acute kidney injury, and Clostridium difficile infection following antibiotic prophylaxis with vancomycin plus a beta-lactam versus either drug alone: A national propensity-score-adjusted retrospective cohort study.

Branch-Elliman Westyn W   Ripollone John E JE   O'Brien William J WJ   Itani Kamal M F KMF   Schweizer Marin L ML   Perencevich Eli E   Strymish Judith J   Gupta Kalpana K  

PLoS medicine 20170710 7


<h4>Background</h4>The optimal regimen for perioperative antimicrobial prophylaxis is controversial. Use of combination prophylaxis with a beta-lactam plus vancomycin is increasing; however, the relative risks and benefits associated with this strategy are unknown. Thus, we sought to compare postoperative outcomes following administration of 2 antimicrobials versus a single agent for the prevention of surgical site infections (SSIs). Potential harms associated with combination regimens, includin  ...[more]

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