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Please use this identifier to cite or link to this item: http://hdl.handle.net/10564/3782

Title: Significance of bacterial culturing of prophylactic drainage fluid in the early postoperative period after liver resection for predicting the development of surgical site infections.
Other Titles: 手術部位感染の予測因子としての肝切除術後早期のドレーン排液培養の有用性
Authors: Ishioka, Kohei
Hokuto, Daisuke
Nomi, Takeo
Yasuda, Satoshi
Yoshikawa, Takahiro
Matsuo, Yasuko
Akahori, Takahiro
Nishiwada, Satoshi
Nakagawa, Kenji
Nagai, Minako
Nakamura, Kota
Ikeda, Naoya
Sho, Masayuki
Keywords: Liver resection
Surgical site infection
Prophylactic drainage
Issue Date: Jun-2018
Publisher: Springer Nature
Citation: Surgery today Vol.48 No.6 p.625-631 (2018 Jun)
Abstract: Purposes: The relationship between the results of bacterial drainage fluid cultures in the early postoperative period after liver resection and the development of surgical site infections (SSIs) is unclear. We evaluated the diagnostic value of bacterial cultures of drainage fluid obtained on postoperative day (POD) 1 after liver resection. Methods: The cases of all consecutive patients who underwent elective liver resection from January 2014 to December 2016 were analyzed. The association between a positive culture result and the development of SSIs was analyzed. Results: A total of 195 consecutive patients were studied. Positive drainage fluid cultures were obtained in 6 patients (3.1%). A multivariate analysis revealed that a positive drainage fluid culture was an independent risk factor for SSIs (odds ratio: 8.04, P = 0.035), and combined resection of the gastrointestinal tract was a risk factor for a positive drainage fluid culture (P = 0.006). Among the patients who did not undergo procedures involving the gastrointestinal tract, there was no association between drainage fluid culture positivity and SSIs. Conclusions: The detection of positive culture results for drainage fluid collected on POD 1 after liver resection was associated with SSIs. However, among patients who did not undergo procedures involving the gastrointestinal tract, it was not a predictor of SSIs.
Description: 博士(医学)・乙第1466号・令和2年9月30日
© Springer Nature Singapore Pte Ltd. 2018
This is a post-peer-review, pre-copyedit version of an article published in Surgery today. The final authenticated version is available online at: http://dx.doi.org/10.1007/s00595-018-1629-8.
URI: http://hdl.handle.net/10564/3782
ISSN: 09411291
DOI: https://doi.org/10.1007/s00595-018-1629-8
Academic Degrees and number: 24601B1466
Degree-granting date: 2020-09-30
Degree name: 博士(医学)
Degree-granting institutions: 奈良県立医科大学
Appears in Collections:2020年度

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