Liberal prescription of antibiotics without supportive evidence is being scrutinized. In this manuscript we review the substantial literature supporting the use of single-dose preoperative antibiotics and the use of antibiotic-impregnated or antibiotic-coated IPPs. We also highlight the dearth of evidence available to support the routine administration of postoperative antibiotics - a practice that recent guidelines have consistently discouraged. Ultimately, implanters must decide for themselves whether a historical practice pattern remains justified.
Written by: Benjamin Dropkin, MD, and Melissa Kaufman, MD, PhD, FACS, Department of Urology, Vanderbilt University Medical Center, Nashville, TN
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