Stop antibiotics after surgery, says new guidance

New guidance on surgical site infections calls for physicians to cease antibiotic prophylaxis immediately after surgeries, according to research published May 4 in Infection Control & Hospital Epidemiology. It is the first major revision to the guidelines since 2014.

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Prior to now, antibiotics were given often before, during and after to prevent infection, however research has found “no evidence that continuing antibiotics after a patient’s incision has been closed, even if it has drains, prevents surgical site infections.” Rather, it actually increases a patients’ risk for contracting Clostridioides difficile — which can cause severe diarrhea. 

On top of that, continuing to administer antibiotics afterward also increases the risk for antimicrobial resistance —  which has been deemed a growing problem across the globe by the World Health Organization.  

The new guidance was determined through a collaboration between the Society for Healthcare Epidemiology of America, Infectious Diseases Society of America, Association for Professionals in Infection Control and Epidemiology, the American Hospital Association and The Joint Commission.

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