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L E T T E R S T O T H E E D I T O R
Error correction, clinical nurse specialists, fragmented research
ERROR IN ANTIBIOTIC RECOMMENDATIONS
You have published a serious error in the January 2007 AORN Journal (Improving compliance
with prophylactic antibiotic guidelines, vol 85). The table on page 177 indicates that 100 mg cefazolin administered subconjunctivally is the recommended antibiotic prophylaxis for all ophthalmic procedures. This is incorrect. Please refer to the Treatment Guidelines from the Medical Letter from April 20041 and December 2006.2 What you should have published is there is no consensus supporting a particular choice, route, or duration of antimicrobial prophylaxis.1(p31),2(p87)
The incorrect antibiotic recommendation that you have published may be misinterpreted as the standard of care for ophthalmic surgical procedures and could be misused by lawyers in malpractice cases, hospital or ambulatory surgery center surgical review committees, or credentialing organizations like Medicare or...