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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

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