Effect of Antibiotic Prophylaxis on Surgical Site Infections Following Removal of Orthopedic Implants

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In this randomized clinical trial that included 470 patients who were undergoing surgery for removal of orthopedic implants used for treatment of below-the-knee fractures, surgical site infection occurred in 12.9% of patients in the cefazolin group and 14.9% of patients in the saline group, a nonsignificant difference. Among patients undergoing surgery for removal of orthopedic implants used for treatment of fractures below the knee, a single preoperative dose of intravenous cefazolin compared with saline did not reduce the risk of surgical site infection within 30 days following implant removal.

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