Does anyone have any protocol or specific orders restricting the use of Vancomycin as a prophylactic antibiotic for outpatient surgery? I have a physician that uses it because of possible exposure to MRSA in "locker room environment" and we are trying to convince him this is unnecessary. I have the SCIP protocol and articles that gives me support but is not definitive for cases that may have been exposed or return to sports "locker room" environment. Can anyone guide me? I have looked at CDC and other articles including those published in orthopedic journals. I need something from Infectious Disease or other guidelines that would help me to convince him. Thanks