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Identification and Voluntary Reduction of Vancomycin Use for Perioperative Antibiotic Prophylaxis During Coronary Artery Bypass Graft Surgery

Published online by Cambridge University Press:  02 January 2015

Suzanne M. Pear ,
Deborah L. Goldsmith ,
Theresa H. Williamson ,
David Mandel ,
Gulshan K. Sethi ,
David A. Arzouman  and
Neil M. Ampel
Suzanne M. Pear
Affiliation:
Medical and Cardiothoracic Surgery Services of the Tucson Veterans' Affairs Medical Center and the Departments of Medicine and Surgery, University of Arizona College of Medicine, Tucson, Arizona
Deborah L. Goldsmith
Affiliation:
Medical and Cardiothoracic Surgery Services of the Tucson Veterans' Affairs Medical Center and the Departments of Medicine and Surgery, University of Arizona College of Medicine, Tucson, Arizona
Theresa H. Williamson
Affiliation:
Medical and Cardiothoracic Surgery Services of the Tucson Veterans' Affairs Medical Center and the Departments of Medicine and Surgery, University of Arizona College of Medicine, Tucson, Arizona
David Mandel
Affiliation:
Medical and Cardiothoracic Surgery Services of the Tucson Veterans' Affairs Medical Center and the Departments of Medicine and Surgery, University of Arizona College of Medicine, Tucson, Arizona
Gulshan K. Sethi
Affiliation:
Medical and Cardiothoracic Surgery Services of the Tucson Veterans' Affairs Medical Center and the Departments of Medicine and Surgery, University of Arizona College of Medicine, Tucson, Arizona
David A. Arzouman
Affiliation:
Medical and Cardiothoracic Surgery Services of the Tucson Veterans' Affairs Medical Center and the Departments of Medicine and Surgery, University of Arizona College of Medicine, Tucson, Arizona
Neil M. Ampel*
Affiliation:
Medical and Cardiothoracic Surgery Services of the Tucson Veterans' Affairs Medical Center and the Departments of Medicine and Surgery, University of Arizona College of Medicine, Tucson, Arizona
*
Medical Service (111), VAMC, 3601 S Sixth Ave, Tucson, AZ 85723; e-mail, nampel@u.arizona.edu
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Abstract

Vancomycin prophylaxis for coronary artery bypass graft surgery without prosthetic valve implantation voluntarily decreased from 94% to 18% in one medical center. Median hospital stay (10 vs 9 days, P=.30) and number of postoperative infections (17.0% vs 14.3%, P=.60) did not differ among patients who received vancomycin and those who did not.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 19 , Issue 7 , July 1998 , pp. 513 - 515
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1998

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