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- Title
What Is the Primary Driver of Preoperative Vancomycin Use? It's Not Methicillin-resistant Staphylococcus aureus—or Allergy.
- Authors
Strymish, Judith M; Brien, William O'; Itani, Kamal; Gupta, Kalpana; Branch-Elliman, Westyn
- Abstract
Factors driving vancomycin surgical prophylaxis are poorly understood. In a national Veterans Affairs cohort with manually validated data, surgical specialty (cardiac, orthopedics) and perception of high facility methicillin-resistant Staphylococcus aureus (MRSA) prevalence—not MRSA colonization—were the primary drivers of prescribing. A β-lactam allergy was the second most common reason. These data may inform perioperative stewardship.
- Subjects
DRUG prescribing; VETERANS; PATIENTS; SURGERY; VANCOMYCIN; PHYSICIAN practice patterns; PREOPERATIVE period; METHICILLIN-resistant staphylococcus aureus; DESCRIPTIVE statistics; ANTIBIOTIC prophylaxis
- Publication
Clinical Infectious Diseases, 2020, Vol 71, Issue 10, p2732
- ISSN
1058-4838
- Publication type
Article
- DOI
10.1093/cid/ciaa475