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WILLIAM A. MILLER, MD
Oklahoma City

Arch Surg. 1985;120(6):754-755.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—In "Antibiotic Prophylaxis in Surgical Procedures,"¹ Guglielmo et al analyzed incomplete data that contained many elementary errors of clinical discrimination, definition, and presentation. The authors reviewed all articles in English that met six important criteria. Seven articles involving orthopedic surgery met these criteria. One² of the seven articles compared antibiotics in prophylaxis. The other six reported a statistically significant (P<.05) reduction in the rate of postoperative wound infection (PWI) by the use of prophylactic antibiotics.

The first article³ analyzed total hip replacements and hip-fracture surgery. Symbols in a table demonstrated that there was no statistically significant difference in the rate of PWI in the internal fixation and prostheses cases in the control and antibiotictreated groups.

The second article⁴ presented values that showed no statistically significant reduction in the rate of PWI in hipfracture surgery (nailing or prostheses) by the use of prophylactic . . . [Full Text PDF of this Article]

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