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.
Jenkins TC, Burman WJ. Do Not Abandon Cultures—Reply. Arch Intern Med. 2011;171(12):1128. doi:10.1001/archinternmed.2011.261