In this issue of the Journal, Itani and colleagues1 describea study in which 1002 patients were randomly assigned to receiveeither ertapenem or cefotetan in a single dose before electivecolorectal surgery. Many experienced surgeons and hospital epidemiologistswill probably be surprised that the overall rate of failurein the modified intention-to-treat analysis was approximately40% for patients receiving ertapenem and 50% for those receivingcefotetan. A possible explanation for these high failure ratesis that the authors of the study, unlike those of most previoustrials, included unexplained use of postoperative antibioticsand 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.
This article has been cited by other articles:
(2007). Ertapenem vs. Cefotetan for Infection Prophylaxis Before Elective Colorectal Surgery. JWatch Gastroenterology
2007: 2-2
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