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Editorial
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Volume 355:2693-2695 December 21, 2006 Number 25
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Carbapenems for Surgical Prophylaxis?
Daniel J. Sexton, M.D.

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-PubMed Citation
In this issue of the Journal, Itani and colleagues1 describe a study in which 1002 patients were randomly assigned to receive either ertapenem or cefotetan in a single dose before elective colorectal surgery. Many experienced surgeons and hospital epidemiologists will probably be surprised that the overall rate of failure in the modified intention-to-treat analysis was approximately 40% for patients receiving ertapenem and 50% for those receiving cefotetan. A possible explanation for these high failure rates is that the authors of the study, unlike those of most previous trials, included unexplained use of postoperative antibiotics and anastomotic leaks in their definition . . . [Full Text of this Article]


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From the Duke Infection Control Outreach Network, Duke University Medical Center, Durham, NC.


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