Antimicrobial Prophylaxis in Surgery

Thomas C. Gasser, Peder H. Graversen, Paul O. Madsen, Ram Yogev, Edward G. Hughes, Paul Claman, Michael J. Patzakis, Jeanette Wilkins, Allen B. Kaiser

Research output: Contribution to journalLetterpeer-review

2 Scopus citations

Abstract

To the Editor: Kaiser (Oct. 30 issue)1 does not recommend antimicrobial prophylaxis for patients with sterile urine who undergo transurethral and open prostatectomy (his Table 2) — although it is unclear whether by “peritoneal” he means “open” or “perineal.” We disagree with the statement in this form for a number of reasons. First, transurethral resection of the prostate is considered a contaminated operation,2 since the urethra, through which the resectoscope must be passed, is always colonized and lens-eye contact is inevitable. Second, the two studies that the author cites to support his statement3,4 have a power of less than 50.

Original languageEnglish (US)
Pages (from-to)1089-1090
Number of pages2
JournalNew England Journal of Medicine
Volume316
Issue number17
DOIs
StatePublished - Apr 23 1987

ASJC Scopus subject areas

  • General Medicine

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