Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
7
pubmed:dateCreated
1981-2-26
pubmed:abstractText
It is important to attempt clinical selection of patients who will benefit from antibiotic prophylaxis during biliary tract operations. Of equal importance is exclusion of patients in whom the risk of adverse effects outweigh the potential benefits. Using clinical criteria defined by Chetlin and Elliott, we have tested a method of defining these patients in our clinical setting. From the size of the sample in this prospective randomized study we can report trends as follows: 1) The incidence of postoperative infection was two times higher in the high-risk group. 2) The incidence of positive bile culture was greater in the high-risk group. 3) Prophylactic antibiotic treatment decreased the incidence of infection in both groups. 4) Radiographic status of the gallbladder is not correlated with subsequent positive bile cultures or incidence of infection. 5) Common duct exploration is associated with a significant increase in incidence of postoperative wound infection. The conclusions of this study substantiate the efficacy of incorporating clinical criteria to determine patients at high risk of developing wound infections.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
0003-1348
pubmed:author
pubmed:issnType
Print
pubmed:volume
46
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
386-90
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
1980
pubmed:articleTitle
Infection complicating cholecystectomy.
pubmed:publicationType
Journal Article, Clinical Trial, Randomized Controlled Trial