Skip to main content Accessibility help
×
Home
Hostname: page-component-7bb4899584-k8jgk Total loading time: 0.24 Render date: 2023-01-27T04:16:02.784Z Has data issue: true Feature Flags: { "useRatesEcommerce": false } hasContentIssue true

Infection and Antimicrobial Use in Laparoscopic Cholecystectomy

Published online by Cambridge University Press:  02 January 2015

Maryanne McGuckin*
Affiliation:
Division of General Internal Medicine, Department of Medicine, the University of Pennsylvania, Philadelphia, Pennsylvania Leonard Davis Institute of Health Economics, the University of Pennsylvania, Philadelphia, Pennsylvania
Judy A. Shea
Affiliation:
Division of General Internal Medicine, Department of Medicine, the University of Pennsylvania, Philadelphia, Pennsylvania Leonard Davis Institute of Health Economics, the University of Pennsylvania, Philadelphia, Pennsylvania Center for Clinical Epidemiology and Biostatistics, the University of Pennsylvania, Philadelphia, Pennsylvania
J. Sanford Schwartz
Affiliation:
Division of General Internal Medicine, Department of Medicine, the University of Pennsylvania, Philadelphia, Pennsylvania Leonard Davis Institute of Health Economics, the University of Pennsylvania, Philadelphia, Pennsylvania Center for Clinical Epidemiology and Biostatistics, the University of Pennsylvania, Philadelphia, Pennsylvania Wharton School, the University of Pennsylvania, Philadelphia, Pennsylvania
*
Division of General Internal Medicine, University of Pennsylvania, School of Medicine, 1133 Blockley Hall, 243 Guardian Dr, Philadelphia, PA 19104-6021

Abstract

Retrospective chart review of 1,702 patients undergoing laparoscopic cholecystectomy (LC) revealed an overall infection rate of 2.3% and a surgical-site infection rate of 0.4%. Preoperative antimicrobial prophylaxis was received by 79% of patients, but only 33% of these received the agent within 1 hour or less prior to surgery. These facts suggest that antimicrobial prophylaxis may not be necessary for low-risk LC patients.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Escarce, JJ, Bloom, BS, Hillman, AL, Shea, JA, Schwartz, JS. Diffusion of laparoscopic cholecystectomy among general surgeons in the United States. Med Care 1995;33:256271.CrossRefGoogle ScholarPubMed
2. Orlando, R 3d, Russell, JC, Lynch, J, Mattie, A. Laparoscopic cholecystectomy. A Statewide Experience. The Connecticut Laparoscopic Cholecystectomy Registry. Arch Surg 1993;128:484499.CrossRefGoogle ScholarPubMed
3. Shea, JA, Healey, MJ, Berlin, JA, Clarke, JR, Malet, PF, Staroscki, RN, et al. Mortality and complications associated with laparoscopic cholecystectomy. A meta-analysis. Ann Surg 1996;224:609620.CrossRefGoogle ScholarPubMed
4. Steiner, CA, Bass, EB, Talamini, MA, Pitt, HA, Steinberg, EP. Surgical rates and operative mortality for open and laparoscopic cholecystectomy in Maryland. N Engl J Med 1993;330:403408.CrossRefGoogle ScholarPubMed
5. Shea, JA, Berlin, JA, Bachwich, DR, Staroscik, RN, Malet, PF, McGuckin, M, et al. Indications for and outcomes of cholecystectomy: a comparison of the pre- and postlaparoscopic eras. Ann Surg 1998;227:343350.CrossRefGoogle ScholarPubMed
6. den Hoed, PT, Boelhouwer, RU, Veen, HF, Hop, WC, Braining, HA, Infections and bacteriological data after laparoscopic and open gallbladder surgery. J Hosp Infect 1998;39:2737.CrossRefGoogle ScholarPubMed
7. Shapiro, M, Townsend, TR, Rosner, B, Kass, EH. Use of antimicrobial drugs in general hospitals: patterns of prophylaxis. N Engl J Med 1979:301:351355.CrossRefGoogle ScholarPubMed
8. Guglielmo, BJ, Hohn, DC, Koo, PJ, Hunt, TK, Sweet, RL, Conte, JE Jr. Antibiotic prophylaxis in surgical procedures: a critical analysis of the literature. Arch Surg 1983;118:943955.CrossRefGoogle ScholarPubMed
9. Crossley, K, Gardner, LC. Antimicrobial prophylaxis in surgical patients. JAMA 1981;245:722726.CrossRefGoogle ScholarPubMed
10. Kaiser, AB. Antimicrobial prophylaxis in surgery. N Engl J Med 1986;315:11291138.Google ScholarPubMed
11. Dellinger, EP, Gross, PA, Barrett, TL, Krause, PJ, Martone, WJ, McGowan, JE Jr, et al. Quality standard for antimicrobial prophylaxis in surgical procedures. Infect Control Hosp Epidemiol 1994;15:182188.CrossRefGoogle ScholarPubMed
36
Cited by

Save article to Kindle

To save this article to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Infection and Antimicrobial Use in Laparoscopic Cholecystectomy
Available formats
×

Save article to Dropbox

To save this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about saving content to Dropbox.

Infection and Antimicrobial Use in Laparoscopic Cholecystectomy
Available formats
×

Save article to Google Drive

To save this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about saving content to Google Drive.

Infection and Antimicrobial Use in Laparoscopic Cholecystectomy
Available formats
×
×

Reply to: Submit a response

Please enter your response.

Your details

Please enter a valid email address.

Conflicting interests

Do you have any conflicting interests? *