[HSF] Re: Post op antibiotics

[David Harris]

Hal, I think the advantage of seeing a decreasing CRP,
is raising the suspicion of a possible mediastinitis,
thus not sending him home to develop it there. I agree
randomising would be a good idea, but will need large
numbers so perhaps a multi-centre trial would work.

Dave

--- Hgrmd at aol.com wrote:

> Dave,
>   Thanks for the reply.  Whether or not you can
> abort brewing  mediastinitis 
> with IV antibiotics alone is subject to debate. 
> Obviously,  the only way to 
> answer that question would be to randomize patients
> with high  CRP's to 
> antibiotics versus placebo, and then see if there is
> a significant  difference in the 
> incidence of mediastinitis.
>  
> Hal
> 
> 
> 
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Dr. David G. Harris, FCS, MMED,
Cardiothoracic Surgeon        
Suite 207                                
Kuils River Private Hospital,        
PO Box 1200, Kuils River, 7579, Cape Town, South Africa.            
Tel +27-21-9006411             
Fax +27-21-9006412      Mobile +27-83-3309587