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Antibiotics before surgery??? Anyone?? Antibiotics before surgery??? Anyone??

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Unread 02-05-2009, 06:26 AM
Antibiotics before surgery??? Anyone??

My surgery date is drawing near and I'm still uneasy about a couple things. Still trying to decide on LSH or LAVH. That aside, my surgery date is 2/12 and as of yesterday, I'm starting to get a congested head cold. I hurried up and called my PCP yesterday morning (who is well aware of my upcoming surgery) and he prescribed me an antibiotic in case I have a sinus infection...hoping to kick it out of my system before next week. I called and left a message with my surgical nurse to let them know that this was prescribed to me so that they are in the loop. I figured it would be a good thing that I have an antibiotic in my system during surgery to fight infection...right???....HOWEVER, I googled 'antibiotics and surgery' and an article came up about 'antibiotic prophylaxis' and the drug 'Cefoxitin' and how they can potentially harm somebody going into surgery, causing C. Difficile Infection. I know, I know, I should stop googling things, but now I'm concerned....not only because my PCP prescribed me an antibiotic (which I haven't started taking yet...going to try the nettie pot first and try to avoid drugs), but during my pre-op visit, I do remember the surgeon's assistant asking my about what antibiotics I couldn't take because I would be administered one for surgery.

Has anyone been in this position right before their scheduled surgery...dealing with a head cold and/or having to take an antibiotic?

Anyone else have any knowledge or experience from any of this?

Please Help!!!
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Unread 02-05-2009, 06:50 AM
Antibiotics before surgery??? Anyone??

i know this isn't quite the same...but i started getting a sinus infection a few days before my bladder surgery...i took the antibiotic up until the night before surgery and then was placed on different ones after the surgery and had no problem...

however..if i were you..i would call the doctor doing the surgery or the pre-op nurses and ask them........

Unread 02-05-2009, 07:00 AM
Antibiotics before surgery??? Anyone??

Thanks so much! That makes me feel better. Did you take any over-the-counter drugs right before surgery for your sinus problems?
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Unread 02-05-2009, 07:08 AM
Antibiotics before surgery??? Anyone??

i think i took mucinex...

i have a mental condition and that is pretty much all i am allowed to take with my psych meds....

which i also took up until the night before surgery...

i had to go off my celebrex for arthritis though a week before..... that was the only drug that would have been problematic.....

i think if you can manage your symptoms with your neti pot and your antibiotic that would be best... but snorting salt water wasn't quite cutting it for me.. (i don't have a neti pot..i make a solution of salt water in a cup and scoop it out with my hands and snort... it works too... just not all the time.. and i make mine really strong..)

good luck to you!

Unread 02-05-2009, 07:26 AM
Antibiotics before surgery??? Anyone??

Thanks for your replies! I'm going to go work with my Netti Pot
Unread 02-05-2009, 08:57 AM
Antibiotics before surgery??? Anyone??

I had a persistent sinus infection for a whole month before my surgery, and I was on an antibiotic. The nurse who did my pre-registration said I should continue taking it up until the morning of the surgery. I was also told I could take Sudafed. I also used the neti pot thing. The morning of surgery, my sinuses were remarkably clear and everything went fine. However, you should check with the doctor and the hospital.
Unread 02-05-2009, 09:12 AM
Antibiotics before surgery??? Anyone??

Thank you so much, these replies are helping me. I feel better. I did inform my surgical nurse that my PCP prescribed me the antibiotic, so everyone is aware. Thanks!

Unread 02-05-2009, 01:17 PM

Hi there,
I had my surgery postphoned this Tuesday because I have bronchitis. I am now on two weeks of anti-biotics to make sure the bug is gone. I have been informed that Mucinex and Allegra are both ok to take right up until surgery day. Just make sure that everyone knows what you are taking when the day arrives. I cancelled because my cough was really bothering me - the thought of all those stiches and a cough...ouch!

Unread 02-07-2009, 09:08 PM
Antibiotics before surgery??? Anyone??

You are right to worry about taking antibiotics before your surgery because you could actually end up with a lower immune system which could make you more susceptible to getting a MRSA staph infection. This is what happened to me. I never had a hysterectomy but I had a mastectomy followed by an immediate free-tram flap (tummy-tuck). Four days before my surgery I felt a burning in my right lung. My husband and son both were fighting bronchitis so I called my breast surgeon that night and he said I should take the Levaquin that I had in the house, one pill a day until my surgery. I showed up 4 days later for surgery, feeling OK, but I had a 100.5 fever. The nurse said they'd probably send me home - but they didn't. Big mistake. The surgery went OK - but they discharged me on day 4 with the start of a bad cough and a low-grade fever. Two days later I was readmitted with shallow breathing, swollen ankles, terrible pain in my abdomen and a fever. It took them a week to finally figure out that I had a MRSA staph infection in my lungs and in my abdomen. I had to stay there two full weeks on IV antibiotics - and needed two blood transfusions. My abdominal incision opened and had to be packed twice-a-day for a month. Now I must have more open abdominal surgery to repair the damage to my muscle from the MRSA.

My research has shown that infectious disease specialists usually recommend the use of prophylactic antibiotics an HOUR prior to surgery..........but the antibiotic depends on the type of surgery. To already be taking antibiotics due to a prior infection SHOULD be a contraindication to surgery. Your surgeon should proceed with caution - your immune system is compromised and you don't want to have to deal with MRSA or any other life-threatening infection after major surgery. Good luck and God watch over you!
Unread 02-08-2009, 06:18 AM
Antibiotics before surgery??? Anyone??


I really, really appreciate your advice. What you just described is what I was very afraid of. I actually did NOT end up starting the antibiotic because I felt I could handle itwith my little 'netti pot'. I was afraid of this sinus congestion turning into a full blown infection and having to cancel my surgery (which is this Thursday). I'm finding that the sinus congestion gets the best of me in the morning, but I'm fine by the I'm glad I did not take the antibiotic (even though they told me it was ok to do). I've even refrained from taking any OTC medicines.

Again, your reply just made me feel alot better about my decision to hold off antibiotics. Thank you.

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