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Second Opinions > IV prophylactic antibiotics

IV prophylactic antibiotics

Is anyone giving IV prophylactic antibiotics prior to catatact or ophthalmic plastic surgery?

Started by: Rebecca Milliron (Director, Surgical Services/Director of Nursing) at March 26, 2013 (11:55 am)

Comments and Responses

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It depends on who the surgeon is.

Arlene Marailla (Director, Surgical Services/Director of Nursing) at March 26, 2013 (4:51 pm) [last edited on March 26, 2013 (4:56 pm)]

It depends on who the surgeon is. Most of our surgeons order antibiotic eydrops qid x 3 days before surgery. Some only require one day of antibiotics qid.Everyone gets one drop of BSS with povidone iodine immediately before incision as part of their surgical prep.

Arlene Marailla (Director, Surgical Services/Director of Nursing) at March 26, 2013 (4:47 pm) [last edited on March 26, 2013 (4:51 pm)]

for cataract surgery our patients use one drop of antibiotic the morning of surgery, and we continue a series of antibiotic every five minutes time three. antibiotic given intracamerally and post operatively times one.

Laura T. (Administrator/Director/Manager/Owner/Executive Officer) at March 26, 2013 (3:01 pm)

For cataract and anterior segment surgery, antibiotic eye drops are started TID the day before surgery and continued TID for 1 week after surgery. We do not give Intracamaral or Subtenons antibiotics and do not add antibiotics to the BSS irrigation. We have not had any increase in the infection rate since we started this in 2009.

I. Kelly (Administrator/Director/Manager/Owner/Exec. Officer) at March 26, 2013 (2:22 pm)

We have our patients do antibiotic drops for 3 days qid before their scheduled surgery, but if for some reason they forget (or choose not to obtain the drops) we do a set of three 5 minutes apart on their surgery day. Analyzing this, I have found absolutely no difference in an infection rate and are probably going to go to a same day protocol to save everyone the time and effort.

Barbara Mann (OR Manager/Supervisor) at March 26, 2013 (1:17 pm)

Without knowing the actual type of surgery, there is no way to comprehensively answer.

Carl Noback (Medical Director/Chief Surgeon) at March 26, 2013 (12:39 pm)

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