[Antibiotic prophylaxis in laparotomic and laparoscopic cholecystectomy].
Antibiotic prophylaxis in biliary surgery, when correctly used, has led to the minimisation of postoperative infections. Conventional cholecystectomy, and particularly laparoscopic cholecystectomy give rise to a very complicated issue concerning the use of antimicrobial prophylaxis, especially in relation to low-risk patients. The authors describe their experience with the use of short-term prophylaxis in biliary surgery based on a hundred consecutive laparoscopic cholecystectomies. In addition, the literature on this topic strengthens the authors' conviction that antimicrobial prophylaxis may be indicated in all surgical cholecystectomy procedures, also in view of the difficult management of postoperative infection risk factors.
Immè
Antonio
A
Unità Operativa Chirurgia Generale I, Azienda Policlinico, Dipartimento di Scienze Chirurgiche, Trapianti d'Organo e Tecnologie Avanzate, Università degli Studi di Catania.
Caglià
Pietro
P
Cardì
Francesco
F
Gandolfo
Luigi
L
Donati
Marcello
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000667:Ampicillin / Q000008:administration & dosage; D019072:Antibiotic Prophylaxis / Q000379:methods; D002443:Ceftriaxone / Q000008:administration & dosage; D002763:Cholecystectomy / Q000379:methods*; D017081:Cholecystectomy, Laparoscopic / Q000379:methods; D004338:Drug Combinations; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010397:Penicillanic Acid / Q000008:administration & dosage / Q000031:analogs & derivatives*; D010878:Piperacillin / Q000008:administration & dosage; D013407:Sulbactam / Q000008:administration & dosage; D013530:Surgical Wound Infection / Q000209:etiology / Q000517:prevention & control*; D000078142:Tazobactam; D016896:Treatment Outcome
D004338:Drug Combinations; D002443:Ceftriaxone; D000667:Ampicillin; D010397:Penicillanic Acid; C090243:sulacillin; D013407:Sulbactam; D000078142:Tazobactam; D010878:Piperacillin