[Tactics in antimicrobial prophylaxis in surgery]

Based on data in the literature and the authors' own experience, the authors recommend antimicrobial prophylaxis in abdominal and thoracic surgery. They give the reasons for antimicrobial prophylaxis, risks of developing postoperative infection, risks of the patient as well as risks depending on the surgeon and hospital environment. The authors discuss factors which limit the selection of a preparation for antimicrobial prophylaxis and finally they submit suggestions for optimal selection of drugs in antimicrobial prophylaxis.