Having had MRSA before my surgeon has put me on clindamycin 3 days prior to explant surgery. Is that standard procedure?

Question

I contracted MRSA from tummy tuck & implant surgery in 2011. I now have to have the implants taken out due to capsular cotracture. I am TERRIFIED that the MRSA will return with this surgery. My surgeon is putting me on clindamycin 3 days prior to surgery & I will be on it for 10 days total. Is that a standard procedure for someone with my history? Are there any other precautions that should be taken? I am 54 & in good health otherwise.

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question.  There are treatments aimed at attempting to eradicate MRSA in patients who chronically carry the bacteria but clindamycin three days prior to surgery is not one of them.  That said your surgeon is trying to minimize the risk of recurrent infection by starting the antibiotics early.  Though data only supports antibiotics immediately prior to surgery your surgeon is being precautionary.  Hope this helps.

Having had MRSA before my surgeon has put me on clindamycin 3 days prior to explant surgery. Is that standard procedure?

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