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Perioperative Antimicrobials
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Perioperative antimicrobial drugs (AMD) have had an insurmountable positive impact on human and veterinary surgery. Antimicrobial drugs have relatively few side effects, are cost-effective, and are, in general, effective at preventing infection. So why shouldn’t we administer AMDs just in case our surgical patients may need them and until we think that it is ‘safe’ to stop them? There are several reasons. The first and most simple reason is fiscal responsibility – unnecessary use of any medication in the perioperative period increases the cost of surgery making it unaffordable for some horse owners. Complications, while uncommon, can occur including antimicrobial-associated colitis, which can be rapidly fatal. Supportive care for horses with antimicrobial-associated colitis can amount to several thousands of dollars ...
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