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ICVTS on-line discussion A 2007 STS guidelines for antibiotic prophylaxis

James Cook University Hospital, Middlesbrough TS4 3BW, UK

Cefuroxime as antibiotic prophylaxis in coronary artery bypass grafting surgery

eComment: This study [1] supports the recently published Guidelines from the Society of Thoracic Surgeons practice guidelines for antibiotic prophylaxis [2, 3]. These excellent guidelines in part I support antibiotic prophylaxis for no more than 48 hours and in part II support a second generation cephalosporin for hospitals with a low level of MRSA. For hospitals with a higher incidence of MRSA however, vancomycin should be added to the cephalosporin (grade IIB recommendation). Any cardiac surgeons looking to review their antibiotic prophylactic regime will find these guidelines very helpful and user friendly and are also available on the STS website at: http://www.sts.org/sections/aboutthesociety/practiceguidelines/

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1. Mastoraki S, Michalopoulos A, Kriaras I, Geroulanos S. Cefuroxime as antibiotic prophylaxis in coronary artery bypass grafting surgery. Interact CardioVasc Thorac Surg 2007; 6:442–446.[Abstract/Free Full Text]
2. Edwards FH, Engelman RM, Houck P, Shahian DM, Bridges CR. The Society of Thoracic Surgeons Practice Guideline Series: Antibiotic Prophylaxis in Cardiac Surgery, Part I: Duration. Ann Thorac Surg 2006; 81:397–404.[Free Full Text]
3. Engelman R, Shahian D, Shemin R, Guy TS, Bratzler D, Edwards F, Jacobs M, Fernando H, Bridges C. The Society of Thoracic Surgeons Practice Guideline Series: Antibiotic Prophylaxis in Cardiac Surgery, Part II: Antibiotic Choice. Ann Thorac Surg 2007; 83:1569–1576.[Free Full Text]

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Joel Dunning Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Dunning, J. Search for Related Content PubMed PubMed Citation Articles by Dunning, J. Related Collections Related Article