What Is the Primary Driver of Preoperative Vancomycin Use? It's Not Methicillin-resistant Staphylococcus aureus-or Allergy.
retrospective_cohort · Level III
Where this comes from
- Record sourced from PubMed, PMID 32337589.
- Also identified by DOI 10.1093/cid/ciaa475 and PMC identifier 7744972.
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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.
Medical subject headings
- Hypersensitivity
- Methicillin-Resistant Staphylococcus aureus
- Staphylococcal Infections