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#96 – The Tortured Stewards & Surgeons Department

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Optimizing Antibiotic Use in Surgical Prophylaxis

The chapter emphasizes the shift towards using cephalosporins for all patients with non-anaphylactic penicillin allergies in surgical prophylaxis, highlighting the importance of data-driven decisions over anecdotal practices. It discusses the impact of recorded penicillin allergies on surgical site infection rates and the success of initiatives delabeling patients as allergic for better outcomes. The dialogue stresses collaboration between surgery and antimicrobial stewardship, the significance of appropriate antibiotic choices, and the efficient administration of medications in the perioperative space.

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