Topical antibiotics in the high-risk biliary surgical patient. A prospective, randomized study

Michael G. Sarr, Kiran J. Parikh, Hilary Sanfey, Stanley L. Minken, John L. Cameron

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

This randomized, prospective study has evaluated the efficacy of topical antibiotics in preventing infective complications in patients undergoing high-risk biliary surgery. Sixty-nine patients who underwent bile duct exploration, choledochoenteric anastomosis, or cholecystectomy, either for acute cholecystitis or because they were older than 65 years of age, were randomized to the following three groups: Group I, topical antibiotics alone (22 patients); Group II, cefoxitin and topical antibiotics (24 patients); and Group III, penicillin, tobramycin, clindamycin, and topical antibiotics (23 patients). The incidence of infective complications was no different among the groups. There was one wound infection in each group, one episode of bacteremia in Group II, and no intraabdominal abscesses. This study has demonstrated that parenteral antibiotics administered prophylactically in the perioperative period offer no additional benefit over the use of effective topical antibiotics used intraoperatively in patients undergoing high-risk biliary surgery.

Original languageEnglish (US)
Pages (from-to)337-342
Number of pages6
JournalThe American Journal of Surgery
Volume155
Issue number2
DOIs
StatePublished - 1988
Externally publishedYes

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Prospective Studies
Anti-Bacterial Agents
Cefoxitin
Perioperative Period
Tobramycin
Acute Cholecystitis
Clindamycin
Cholecystectomy
Wound Infection
Bacteremia
Bile Ducts
Penicillins
Abscess
Incidence

ASJC Scopus subject areas

  • Surgery

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Topical antibiotics in the high-risk biliary surgical patient. A prospective, randomized study. / Sarr, Michael G.; Parikh, Kiran J.; Sanfey, Hilary; Minken, Stanley L.; Cameron, John L.

In: The American Journal of Surgery, Vol. 155, No. 2, 1988, p. 337-342.

Research output: Contribution to journalArticle

Sarr, Michael G. ; Parikh, Kiran J. ; Sanfey, Hilary ; Minken, Stanley L. ; Cameron, John L. / Topical antibiotics in the high-risk biliary surgical patient. A prospective, randomized study. In: The American Journal of Surgery. 1988 ; Vol. 155, No. 2. pp. 337-342.
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