joint that's about to
be replaced. "Bring
patients who need
vanco into the facility
a little earlier to make
sure you have time to
administer the antibi-
otic," says Ms. Yerkes.
Re-dose antibiotics
during cases lasting
longer than 5 hours,
suggests Ms. Yerkes,
noting that some revi-
sions can take this
long. Also, she adds,
be sure patients dis-
continue their own
antibiotics within 24
hours of surgery.
Weight-based dosing
is also important. A
recent study in the
Journal of
Arthroplasty involved
more than 17,000 total
joint patients who
received cefazolin as
a perioperative pro-
phylaxis (osmag.net/
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