Preventing Surgical Site Infections after Bariatric Surgery: Value of Perioperative Antibiotic Regimens

Teena Chopra; Jing J Zhao; George Alangaden; Michael H Wood; Keith S Kaye

Disclosures

Expert Rev Pharmacoeconomics Outcomes Res. 2010;10(3):317-328. 

In This Article

Five-year View

Over the next 5 years, we anticipate that the population of patients undergoing bariatric surgery will grow immensely. Unfortunately, SSI pathogens are becoming more resistant to standard antimicrobials. In particular, the continuing spread of community-acquired MRSA and extended-spectrum β-lactamase-producing Gram-negative bacilli will make the delivery of effective antimicrobial prophylaxis more challenging, particularly in the obese population. Public reporting of infection rates and decreased insurance reimbursements for hospital-acquired infections, such as SSIs, might have a profound effect on the bariatric surgery population, as these patients are generally at 'high risk' for SSIs and have a relatively high frequency of comorbid conditions, increasing their risk for SSIs.

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