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Practice Bulletin #195 - Published June 2018 Four pearls: 1. Clean your hands, clean the skin, prep the vagina, treat remote infections and keep blood sugars controlled preoperatively to reduce infection rate. 2. Antibiotic prophylaxis is indicated for all hysterectomies, open surgery, and DaC for abortion, but it's generally not indicated in other procedures unless there's risk of entry into the bowel or a communication made between the abdominal cavity and the vagina. 3. Evidence is poor for antibiotic prophylaxis for indwelling foley or suprapubic catheters 4. For patients with penicillin allergy, switch to cephalosporin if allergy is mild, switch to metronidazole (or clindamycin) plus gentamicin (or aztreonam) if allergy is severe or if history of anaphylaxis Shout-outs: - Julie Duhon and Haddie Katz, CPM are looking for an OB to help them open a birth center in Bloomington, IN (email: hellomidwife@gmail.com)SHOW NOTES This episode pairs nicely with the Lot 1 Bonanza Sauvignon by Chuck Wagner Wine. Main theme music by my main amigo, Evan Handyside