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Commentary |

It's Time to Sweat the Little Things

John A. Weigelt, MD
Arch Surg. 2000;135(7):763-764. doi:10.1001/archsurg.135.7.763.
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WHILE IT may be in vogue to "not sweat the little things," maybe we should pay closer attention to some little things within our practice. Can we examine how we use antibiotics?

Recent reflection on antibiotics coupled with the concern for medical injury led to another evaluation of antibiotic use in our surgical practice.1,2 While antibiotics can be life saving, they can also cause adverse reactions. The risk-benefit ratio must always be assessed. Proper use is always defendable while improper use causes complications, some of which can be life threatening and can increase the total cost of care. Two specific areas where surgeons use antibiotics are surgical prophylaxis and treatment of intra-abdominal infection. Sweating over the little things involved in our use of antibiotics may be a timely activity.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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