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Pyogenic infections in orthopedic surgery. Prevention and management.

A problem that confronts surgeons in clinical practice is that a patient may acquire new infections while in the hospital. When such infections occur they are predominantly staphylococcal and these bacteria are often, but not always resistant to penicillin, streptomycin and the tetracycline antibiotics. They are often but neither completely nor uniformly sensitive to the newer or less frequently used antimicrobial agents. The extension of antibiotic usage from proven situations to "routine" prophylaxis has been a widespread practice. There are many reasons to discourage and to reexamine the va…