Selection of prophylactic antibiotics according to the microorganisms isolated from surgical site infections (SSIs) in a previous series of surgeries reduces SSI incidence after pancreaticoduodenectomy
Background The incidence of surgical site infections (SSIs) is high after pancreaticoduodenectomy (PD). Methods We divided 116 consecutive patients who underwent PD into an early group (n = 58) and a later group (n = 58) according to time of surgery. In both groups, endoscopic retrograde biliary dra...
Ausführliche Beschreibung
Autor*in: |
Kondo, Kazuhiro [verfasserIn] Chijiiwa, Kazuo [verfasserIn] Ohuchida, Jiro [verfasserIn] Kai, Masahiro [verfasserIn] Fujii, Yoshiro [verfasserIn] Otani, Kazuhiro [verfasserIn] Hiyoshi, Masahide [verfasserIn] Nagano, Motoaki [verfasserIn] Imamura, Naoya [verfasserIn] |
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Sprache: |
Englisch |
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2012 |
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Enthalten in: Journal of hepato-biliary pancreatic surgery - Berlin : Springer, 1993, 20(2012), 3 vom: 06. Apr., Seite 286-293 |
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Übergeordnetes Werk: |
volume:20 ; year:2012 ; number:3 ; day:06 ; month:04 ; pages:286-293 |
Links: |
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DOI / URN: |
10.1007/s00534-012-0515-9 |
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Katalog-ID: |
SPR006744923 |
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245 | 1 | 0 | |a Selection of prophylactic antibiotics according to the microorganisms isolated from surgical site infections (SSIs) in a previous series of surgeries reduces SSI incidence after pancreaticoduodenectomy |
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520 | |a Background The incidence of surgical site infections (SSIs) is high after pancreaticoduodenectomy (PD). Methods We divided 116 consecutive patients who underwent PD into an early group (n = 58) and a later group (n = 58) according to time of surgery. In both groups, endoscopic retrograde biliary drainage was mainly employed for the patients with obstructive jaundice. In the later group, prophylactic antibiotics were selected according to the susceptibility of microorganisms isolated from SSIs in the early group. The incidence of SSIs was compared between the groups. Results The background characteristics (including methods of preoperative biliary drainage and microorganisms in the bile obtained before or during operation) of the patients were not significantly different between the groups, except for the serum albumin level, which was lower in the later group than in the early group (P = 0.0026). The incidence of SSIs was significantly lower in the later group (24.1 %) than in the early group (46.6 %) (P = 0.0116). Belonging to the later group was one independent negative risk factor for SSI. Conclusions Selection of prophylactic antibiotics on the basis of microorganisms isolated from SSIs in the early group contributed to the reduced incidence of SSIs in the later group after PD. | ||
650 | 4 | |a Prophylactic antibiotics |7 (dpeaa)DE-He213 | |
650 | 4 | |a Surgical site infection |7 (dpeaa)DE-He213 | |
650 | 4 | |a Pancreaticoduodenectomy |7 (dpeaa)DE-He213 | |
700 | 1 | |a Chijiiwa, Kazuo |e verfasserin |4 aut | |
700 | 1 | |a Ohuchida, Jiro |e verfasserin |4 aut | |
700 | 1 | |a Kai, Masahiro |e verfasserin |4 aut | |
700 | 1 | |a Fujii, Yoshiro |e verfasserin |4 aut | |
700 | 1 | |a Otani, Kazuhiro |e verfasserin |4 aut | |
700 | 1 | |a Hiyoshi, Masahide |e verfasserin |4 aut | |
700 | 1 | |a Nagano, Motoaki |e verfasserin |4 aut | |
700 | 1 | |a Imamura, Naoya |e verfasserin |4 aut | |
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10.1007/s00534-012-0515-9 doi (DE-627)SPR006744923 (SPR)s00534-012-0515-9-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl Kondo, Kazuhiro verfasserin aut Selection of prophylactic antibiotics according to the microorganisms isolated from surgical site infections (SSIs) in a previous series of surgeries reduces SSI incidence after pancreaticoduodenectomy 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background The incidence of surgical site infections (SSIs) is high after pancreaticoduodenectomy (PD). Methods We divided 116 consecutive patients who underwent PD into an early group (n = 58) and a later group (n = 58) according to time of surgery. In both groups, endoscopic retrograde biliary drainage was mainly employed for the patients with obstructive jaundice. In the later group, prophylactic antibiotics were selected according to the susceptibility of microorganisms isolated from SSIs in the early group. The incidence of SSIs was compared between the groups. Results The background characteristics (including methods of preoperative biliary drainage and microorganisms in the bile obtained before or during operation) of the patients were not significantly different between the groups, except for the serum albumin level, which was lower in the later group than in the early group (P = 0.0026). The incidence of SSIs was significantly lower in the later group (24.1 %) than in the early group (46.6 %) (P = 0.0116). Belonging to the later group was one independent negative risk factor for SSI. Conclusions Selection of prophylactic antibiotics on the basis of microorganisms isolated from SSIs in the early group contributed to the reduced incidence of SSIs in the later group after PD. Prophylactic antibiotics (dpeaa)DE-He213 Surgical site infection (dpeaa)DE-He213 Pancreaticoduodenectomy (dpeaa)DE-He213 Chijiiwa, Kazuo verfasserin aut Ohuchida, Jiro verfasserin aut Kai, Masahiro verfasserin aut Fujii, Yoshiro verfasserin aut Otani, Kazuhiro verfasserin aut Hiyoshi, Masahide verfasserin aut Nagano, Motoaki verfasserin aut Imamura, Naoya verfasserin aut Enthalten in Journal of hepato-biliary pancreatic surgery Berlin : Springer, 1993 20(2012), 3 vom: 06. Apr., Seite 286-293 (DE-627)268761701 (DE-600)1473162-9 1436-0691 nnns volume:20 year:2012 number:3 day:06 month:04 pages:286-293 https://dx.doi.org/10.1007/s00534-012-0515-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_40 GBV_ILN_62 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_110 GBV_ILN_120 GBV_ILN_267 GBV_ILN_285 GBV_ILN_647 GBV_ILN_702 44.87 ASE AR 20 2012 3 06 04 286-293 |
spelling |
10.1007/s00534-012-0515-9 doi (DE-627)SPR006744923 (SPR)s00534-012-0515-9-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl Kondo, Kazuhiro verfasserin aut Selection of prophylactic antibiotics according to the microorganisms isolated from surgical site infections (SSIs) in a previous series of surgeries reduces SSI incidence after pancreaticoduodenectomy 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background The incidence of surgical site infections (SSIs) is high after pancreaticoduodenectomy (PD). Methods We divided 116 consecutive patients who underwent PD into an early group (n = 58) and a later group (n = 58) according to time of surgery. In both groups, endoscopic retrograde biliary drainage was mainly employed for the patients with obstructive jaundice. In the later group, prophylactic antibiotics were selected according to the susceptibility of microorganisms isolated from SSIs in the early group. The incidence of SSIs was compared between the groups. Results The background characteristics (including methods of preoperative biliary drainage and microorganisms in the bile obtained before or during operation) of the patients were not significantly different between the groups, except for the serum albumin level, which was lower in the later group than in the early group (P = 0.0026). The incidence of SSIs was significantly lower in the later group (24.1 %) than in the early group (46.6 %) (P = 0.0116). Belonging to the later group was one independent negative risk factor for SSI. Conclusions Selection of prophylactic antibiotics on the basis of microorganisms isolated from SSIs in the early group contributed to the reduced incidence of SSIs in the later group after PD. Prophylactic antibiotics (dpeaa)DE-He213 Surgical site infection (dpeaa)DE-He213 Pancreaticoduodenectomy (dpeaa)DE-He213 Chijiiwa, Kazuo verfasserin aut Ohuchida, Jiro verfasserin aut Kai, Masahiro verfasserin aut Fujii, Yoshiro verfasserin aut Otani, Kazuhiro verfasserin aut Hiyoshi, Masahide verfasserin aut Nagano, Motoaki verfasserin aut Imamura, Naoya verfasserin aut Enthalten in Journal of hepato-biliary pancreatic surgery Berlin : Springer, 1993 20(2012), 3 vom: 06. Apr., Seite 286-293 (DE-627)268761701 (DE-600)1473162-9 1436-0691 nnns volume:20 year:2012 number:3 day:06 month:04 pages:286-293 https://dx.doi.org/10.1007/s00534-012-0515-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_40 GBV_ILN_62 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_110 GBV_ILN_120 GBV_ILN_267 GBV_ILN_285 GBV_ILN_647 GBV_ILN_702 44.87 ASE AR 20 2012 3 06 04 286-293 |
allfields_unstemmed |
10.1007/s00534-012-0515-9 doi (DE-627)SPR006744923 (SPR)s00534-012-0515-9-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl Kondo, Kazuhiro verfasserin aut Selection of prophylactic antibiotics according to the microorganisms isolated from surgical site infections (SSIs) in a previous series of surgeries reduces SSI incidence after pancreaticoduodenectomy 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background The incidence of surgical site infections (SSIs) is high after pancreaticoduodenectomy (PD). Methods We divided 116 consecutive patients who underwent PD into an early group (n = 58) and a later group (n = 58) according to time of surgery. In both groups, endoscopic retrograde biliary drainage was mainly employed for the patients with obstructive jaundice. In the later group, prophylactic antibiotics were selected according to the susceptibility of microorganisms isolated from SSIs in the early group. The incidence of SSIs was compared between the groups. Results The background characteristics (including methods of preoperative biliary drainage and microorganisms in the bile obtained before or during operation) of the patients were not significantly different between the groups, except for the serum albumin level, which was lower in the later group than in the early group (P = 0.0026). The incidence of SSIs was significantly lower in the later group (24.1 %) than in the early group (46.6 %) (P = 0.0116). Belonging to the later group was one independent negative risk factor for SSI. Conclusions Selection of prophylactic antibiotics on the basis of microorganisms isolated from SSIs in the early group contributed to the reduced incidence of SSIs in the later group after PD. Prophylactic antibiotics (dpeaa)DE-He213 Surgical site infection (dpeaa)DE-He213 Pancreaticoduodenectomy (dpeaa)DE-He213 Chijiiwa, Kazuo verfasserin aut Ohuchida, Jiro verfasserin aut Kai, Masahiro verfasserin aut Fujii, Yoshiro verfasserin aut Otani, Kazuhiro verfasserin aut Hiyoshi, Masahide verfasserin aut Nagano, Motoaki verfasserin aut Imamura, Naoya verfasserin aut Enthalten in Journal of hepato-biliary pancreatic surgery Berlin : Springer, 1993 20(2012), 3 vom: 06. Apr., Seite 286-293 (DE-627)268761701 (DE-600)1473162-9 1436-0691 nnns volume:20 year:2012 number:3 day:06 month:04 pages:286-293 https://dx.doi.org/10.1007/s00534-012-0515-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_40 GBV_ILN_62 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_110 GBV_ILN_120 GBV_ILN_267 GBV_ILN_285 GBV_ILN_647 GBV_ILN_702 44.87 ASE AR 20 2012 3 06 04 286-293 |
allfieldsGer |
10.1007/s00534-012-0515-9 doi (DE-627)SPR006744923 (SPR)s00534-012-0515-9-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl Kondo, Kazuhiro verfasserin aut Selection of prophylactic antibiotics according to the microorganisms isolated from surgical site infections (SSIs) in a previous series of surgeries reduces SSI incidence after pancreaticoduodenectomy 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background The incidence of surgical site infections (SSIs) is high after pancreaticoduodenectomy (PD). Methods We divided 116 consecutive patients who underwent PD into an early group (n = 58) and a later group (n = 58) according to time of surgery. In both groups, endoscopic retrograde biliary drainage was mainly employed for the patients with obstructive jaundice. In the later group, prophylactic antibiotics were selected according to the susceptibility of microorganisms isolated from SSIs in the early group. The incidence of SSIs was compared between the groups. Results The background characteristics (including methods of preoperative biliary drainage and microorganisms in the bile obtained before or during operation) of the patients were not significantly different between the groups, except for the serum albumin level, which was lower in the later group than in the early group (P = 0.0026). The incidence of SSIs was significantly lower in the later group (24.1 %) than in the early group (46.6 %) (P = 0.0116). Belonging to the later group was one independent negative risk factor for SSI. Conclusions Selection of prophylactic antibiotics on the basis of microorganisms isolated from SSIs in the early group contributed to the reduced incidence of SSIs in the later group after PD. Prophylactic antibiotics (dpeaa)DE-He213 Surgical site infection (dpeaa)DE-He213 Pancreaticoduodenectomy (dpeaa)DE-He213 Chijiiwa, Kazuo verfasserin aut Ohuchida, Jiro verfasserin aut Kai, Masahiro verfasserin aut Fujii, Yoshiro verfasserin aut Otani, Kazuhiro verfasserin aut Hiyoshi, Masahide verfasserin aut Nagano, Motoaki verfasserin aut Imamura, Naoya verfasserin aut Enthalten in Journal of hepato-biliary pancreatic surgery Berlin : Springer, 1993 20(2012), 3 vom: 06. Apr., Seite 286-293 (DE-627)268761701 (DE-600)1473162-9 1436-0691 nnns volume:20 year:2012 number:3 day:06 month:04 pages:286-293 https://dx.doi.org/10.1007/s00534-012-0515-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_40 GBV_ILN_62 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_110 GBV_ILN_120 GBV_ILN_267 GBV_ILN_285 GBV_ILN_647 GBV_ILN_702 44.87 ASE AR 20 2012 3 06 04 286-293 |
allfieldsSound |
10.1007/s00534-012-0515-9 doi (DE-627)SPR006744923 (SPR)s00534-012-0515-9-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl Kondo, Kazuhiro verfasserin aut Selection of prophylactic antibiotics according to the microorganisms isolated from surgical site infections (SSIs) in a previous series of surgeries reduces SSI incidence after pancreaticoduodenectomy 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background The incidence of surgical site infections (SSIs) is high after pancreaticoduodenectomy (PD). Methods We divided 116 consecutive patients who underwent PD into an early group (n = 58) and a later group (n = 58) according to time of surgery. In both groups, endoscopic retrograde biliary drainage was mainly employed for the patients with obstructive jaundice. In the later group, prophylactic antibiotics were selected according to the susceptibility of microorganisms isolated from SSIs in the early group. The incidence of SSIs was compared between the groups. Results The background characteristics (including methods of preoperative biliary drainage and microorganisms in the bile obtained before or during operation) of the patients were not significantly different between the groups, except for the serum albumin level, which was lower in the later group than in the early group (P = 0.0026). The incidence of SSIs was significantly lower in the later group (24.1 %) than in the early group (46.6 %) (P = 0.0116). Belonging to the later group was one independent negative risk factor for SSI. Conclusions Selection of prophylactic antibiotics on the basis of microorganisms isolated from SSIs in the early group contributed to the reduced incidence of SSIs in the later group after PD. Prophylactic antibiotics (dpeaa)DE-He213 Surgical site infection (dpeaa)DE-He213 Pancreaticoduodenectomy (dpeaa)DE-He213 Chijiiwa, Kazuo verfasserin aut Ohuchida, Jiro verfasserin aut Kai, Masahiro verfasserin aut Fujii, Yoshiro verfasserin aut Otani, Kazuhiro verfasserin aut Hiyoshi, Masahide verfasserin aut Nagano, Motoaki verfasserin aut Imamura, Naoya verfasserin aut Enthalten in Journal of hepato-biliary pancreatic surgery Berlin : Springer, 1993 20(2012), 3 vom: 06. Apr., Seite 286-293 (DE-627)268761701 (DE-600)1473162-9 1436-0691 nnns volume:20 year:2012 number:3 day:06 month:04 pages:286-293 https://dx.doi.org/10.1007/s00534-012-0515-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_40 GBV_ILN_62 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_110 GBV_ILN_120 GBV_ILN_267 GBV_ILN_285 GBV_ILN_647 GBV_ILN_702 44.87 ASE AR 20 2012 3 06 04 286-293 |
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Enthalten in Journal of hepato-biliary pancreatic surgery 20(2012), 3 vom: 06. Apr., Seite 286-293 volume:20 year:2012 number:3 day:06 month:04 pages:286-293 |
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Kondo, Kazuhiro @@aut@@ Chijiiwa, Kazuo @@aut@@ Ohuchida, Jiro @@aut@@ Kai, Masahiro @@aut@@ Fujii, Yoshiro @@aut@@ Otani, Kazuhiro @@aut@@ Hiyoshi, Masahide @@aut@@ Nagano, Motoaki @@aut@@ Imamura, Naoya @@aut@@ |
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Kondo, Kazuhiro |
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Kondo, Kazuhiro ddc 610 bkl 44.87 misc Prophylactic antibiotics misc Surgical site infection misc Pancreaticoduodenectomy Selection of prophylactic antibiotics according to the microorganisms isolated from surgical site infections (SSIs) in a previous series of surgeries reduces SSI incidence after pancreaticoduodenectomy |
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610 ASE 44.87 bkl Selection of prophylactic antibiotics according to the microorganisms isolated from surgical site infections (SSIs) in a previous series of surgeries reduces SSI incidence after pancreaticoduodenectomy Prophylactic antibiotics (dpeaa)DE-He213 Surgical site infection (dpeaa)DE-He213 Pancreaticoduodenectomy (dpeaa)DE-He213 |
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Selection of prophylactic antibiotics according to the microorganisms isolated from surgical site infections (SSIs) in a previous series of surgeries reduces SSI incidence after pancreaticoduodenectomy |
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Selection of prophylactic antibiotics according to the microorganisms isolated from surgical site infections (SSIs) in a previous series of surgeries reduces SSI incidence after pancreaticoduodenectomy |
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Kondo, Kazuhiro Chijiiwa, Kazuo Ohuchida, Jiro Kai, Masahiro Fujii, Yoshiro Otani, Kazuhiro Hiyoshi, Masahide Nagano, Motoaki Imamura, Naoya |
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selection of prophylactic antibiotics according to the microorganisms isolated from surgical site infections (ssis) in a previous series of surgeries reduces ssi incidence after pancreaticoduodenectomy |
title_auth |
Selection of prophylactic antibiotics according to the microorganisms isolated from surgical site infections (SSIs) in a previous series of surgeries reduces SSI incidence after pancreaticoduodenectomy |
abstract |
Background The incidence of surgical site infections (SSIs) is high after pancreaticoduodenectomy (PD). Methods We divided 116 consecutive patients who underwent PD into an early group (n = 58) and a later group (n = 58) according to time of surgery. In both groups, endoscopic retrograde biliary drainage was mainly employed for the patients with obstructive jaundice. In the later group, prophylactic antibiotics were selected according to the susceptibility of microorganisms isolated from SSIs in the early group. The incidence of SSIs was compared between the groups. Results The background characteristics (including methods of preoperative biliary drainage and microorganisms in the bile obtained before or during operation) of the patients were not significantly different between the groups, except for the serum albumin level, which was lower in the later group than in the early group (P = 0.0026). The incidence of SSIs was significantly lower in the later group (24.1 %) than in the early group (46.6 %) (P = 0.0116). Belonging to the later group was one independent negative risk factor for SSI. Conclusions Selection of prophylactic antibiotics on the basis of microorganisms isolated from SSIs in the early group contributed to the reduced incidence of SSIs in the later group after PD. |
abstractGer |
Background The incidence of surgical site infections (SSIs) is high after pancreaticoduodenectomy (PD). Methods We divided 116 consecutive patients who underwent PD into an early group (n = 58) and a later group (n = 58) according to time of surgery. In both groups, endoscopic retrograde biliary drainage was mainly employed for the patients with obstructive jaundice. In the later group, prophylactic antibiotics were selected according to the susceptibility of microorganisms isolated from SSIs in the early group. The incidence of SSIs was compared between the groups. Results The background characteristics (including methods of preoperative biliary drainage and microorganisms in the bile obtained before or during operation) of the patients were not significantly different between the groups, except for the serum albumin level, which was lower in the later group than in the early group (P = 0.0026). The incidence of SSIs was significantly lower in the later group (24.1 %) than in the early group (46.6 %) (P = 0.0116). Belonging to the later group was one independent negative risk factor for SSI. Conclusions Selection of prophylactic antibiotics on the basis of microorganisms isolated from SSIs in the early group contributed to the reduced incidence of SSIs in the later group after PD. |
abstract_unstemmed |
Background The incidence of surgical site infections (SSIs) is high after pancreaticoduodenectomy (PD). Methods We divided 116 consecutive patients who underwent PD into an early group (n = 58) and a later group (n = 58) according to time of surgery. In both groups, endoscopic retrograde biliary drainage was mainly employed for the patients with obstructive jaundice. In the later group, prophylactic antibiotics were selected according to the susceptibility of microorganisms isolated from SSIs in the early group. The incidence of SSIs was compared between the groups. Results The background characteristics (including methods of preoperative biliary drainage and microorganisms in the bile obtained before or during operation) of the patients were not significantly different between the groups, except for the serum albumin level, which was lower in the later group than in the early group (P = 0.0026). The incidence of SSIs was significantly lower in the later group (24.1 %) than in the early group (46.6 %) (P = 0.0116). Belonging to the later group was one independent negative risk factor for SSI. Conclusions Selection of prophylactic antibiotics on the basis of microorganisms isolated from SSIs in the early group contributed to the reduced incidence of SSIs in the later group after PD. |
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title_short |
Selection of prophylactic antibiotics according to the microorganisms isolated from surgical site infections (SSIs) in a previous series of surgeries reduces SSI incidence after pancreaticoduodenectomy |
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https://dx.doi.org/10.1007/s00534-012-0515-9 |
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