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Are Cephalosporins Safe for Surgical Prophylaxis in Patients with Penicillin Allergy?

by Kiran Abraham-Aggarwal and Ashutosh Kacker, MB, BS, MD • May 13, 2024

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TRIO Best PracticeTRIO Best Practice articles are brief, structured reviews designed to provide the busy clinician with a handy outline and reference for day-to-day clinical decision making. The ENTtoday summaries below include the Background and Best Practice sections of the original article. To view the complete Laryngoscope articles free of charge, visit Laryngoscope.com.

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Explore This Issue
May 2024

BACKGROUND

Cefazolin, also known as Ancef, is a first-generation cephalosporin antibiotic often used in surgery to treat or prevent bacterial infection of the surgical site. Ancef is safe for most of the population; however, many physicians use alternative, less effective medications in patients with penicillin allergy due to a fear of cross-reactivity between Ancef and the patient’s penicillin allergy. In this article, we aim to examine if cefazolin is safe for patients with penicillin allergy.

BEST PRACTICE

Cefazolin is one of the most effective prophylactics in use today. Most current literature suggests that cefazolin is safe for surgical prophylaxis in patients with penicillin allergy.  

Filed Under: Head and Neck, Head and Neck, Practice Focus, TRIO Best Practices Tagged With: Cephalosporins, Penicillin AllergyIssue: May 2024

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  • What Is The Optimal Duration of Antibiotic Prophylaxis in Clean-Contaminated Head and Neck Surgery?

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