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Editor's Correspondence
June 27, 2011

Do Not Abandon Cultures—Reply

Author Affiliations

Author Affiliations: Department of Medicine and Division of Infectious Diseases, Denver Health, Denver, Colorado (Drs Jenkins and Burman); University of Colorado Denver, Aurora (Drs Jenkins and Burman).

Arch Intern Med. 2011;171(12):1128. doi:10.1001/archinternmed.2011.261

In reply

We appreciate the letter by Dr Johnson in response to our study describing the impact of a clinical practice guideline on antibiotic and health care resource utilization for inpatient cellulitis and cutaneous abscess.1 He suggests that our phrasing, “significant decrease in the use of microbiological cultures,” may inadvertently discourage providers from obtaining appropriate cultures. To clarify, in our guideline published as an eFigure along with the article, we advocate performing cultures for all abscess drainage procedures and the selective use of blood cultures and we discourage use of wound swab cultures.

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