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Invited Critique
May 2013

Is the Elimination of Postoperative Antimicrobial Prophylaxis in Thoracic Surgery Ready for Prime Time?Comment on “Postoperative Antibacterial Prophylaxis for the Prevention of Infectious Complications Associated With Tube Thoracostomy in Patients Undergoing Elective General Thoracic Surgery”

JAMA Surg. 2013;148(5):447. doi:10.1001/jamasurg.2013.1412

Many retrospective series conclude with the admonition that the findings should be corroborated by a well-designed, randomized clinical trial. With regard to the use of antibiotics following thoracic surgery, that study is now available. Oxman and colleagues1 provide us with a well-conducted, randomized study suggesting that routinely extending antimicrobial prophylaxis into the postoperative period is of no value in preventing infectious complications following thoracic surgery involving tube thoracostomy.