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March 1973

Gram-Negative Pneumonias in Surgical Patients: Complication of Antibiotic Treatment

Author Affiliations

From the Department of Surgery (Dr. Schlenker) and the Institute of Pathology (Dr. Barrios), University Hospitals of Cleveland and Case Western Reserve University School of Medicine, Cleveland.

Arch Surg. 1973;106(3):267-272. doi:10.1001/archsurg.1973.01350150007004

On the general surgical service, five postoperative patients died during a six-month period of pulmonary infections. All developed pneumonias caused by gram-negative bacteria that were resistant to the antibiotics employed immediately after surgery. In all cases, the antibiotics provided broad-spectrum coverage and were not directed initially against any specific bacteria. The authors caution against the use of prophylactic antibiotics in postoperative patients, particularly in those predisposed to develop pulmonary infections.

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