M A Y 2 0 1 7 O U T P A T I E N TS U R G E R Y. N E T 3 1
2. Practice antibiotic stewardship. Ensure the appropriate antibiotic is
administered at the appropriate time to the appropriate patient and don't pro-
long the use of post-op antibiotics, says Linda Fan, MD, a female pelvic medi-
cine specialist and director of Yale Medicine Gynecology at Yale New Haven
Hospital. For example, Dr. Fan looked at the evidence and reviewed guidelines
issued by the American College of Obstetricians and Gynecologists, which indi-
cate antibiotics don't have to be administered before clean laparoscopic proce-
dures, because the risk of infection at the skin level is so low.
Cefazolin is the primary pre-op antibiotic used at Yale New Haven (and at
most surgical facilities). The idea of giving vancomycin, potentially on top of
other antibiotics, is overkill in patients who do not test positive for infection. It
exposes the patient to risks associated with taking a powerful antibiotic, and it
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