INTRA-OPERATIVE GRAMS STAINING OF BILE AS A GUIDE FOR EARLY SELECTIVE ADMINISTRATION OF ANTIBIOTICS

  • 1 January 1982
    • journal article
    • research article
    • Vol. 18  (4) , 479-482
Abstract
A prospective clinicobacteriological study was undertaken in 100 patients undergoing biliary surgery, to assess the influence on the postoperative course of early antibiotic treatment that was instituted in accordance with the results of intraoperative Gram staining of gallbladder bile. The wound infection rate was 9% and there were no other septic complications. The sensitivity of Gram staining, as compared with the results of bile cultures, was 65.5%. Additional evidence is provided of the value of Gram staining of bile as a means for the early discovery of pathogens and early institution of antibiotic therapy, both important factors in lowering the rate of infective post-operative complications.

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