Grande M, Torquati A, Farinon A M
Department of Surgery of the II University of Rome, Italy.
Eur J Surg. 1992 Feb;158(2):109-12.
To see if there was a difference in the wound infection rates after operation for acute and chronic cholecystitis, and to see if the presence of bacteria in the bile had any influence on those rates.
Prospective open study.
University hospital.
213 Patients undergoing cholecystectomy for acute or chronic gallstone disease.
Incidence of postoperative wound infection, and of bile cultures growing pathogenic organism.
There was no difference in wound infection rates between patients operated on for acute and those operated on for chronic cholecystitis. The presence of bacteria in the bile did not seem to influence the wound infection rate in either group.
Early cholecystectomy and appropriate antibiotic prophylaxis result in an acceptably low wound infection rate, and the growth of bacteria from bile is not predictive of the development of wound infection.
观察急性和慢性胆囊炎手术后伤口感染率是否存在差异，以及胆汁中细菌的存在是否对这些感染率有任何影响。
前瞻性开放性研究。
大学医院。
213例因急性或慢性胆结石疾病接受胆囊切除术的患者。
术后伤口感染发生率以及胆汁培养中生长致病微生物的情况。
急性胆囊炎手术患者和慢性胆囊炎手术患者的伤口感染率没有差异。胆汁中细菌的存在似乎对两组的伤口感染率均无影响。
早期胆囊切除术和适当的抗生素预防可使伤口感染率低至可接受水平，并且胆汁中细菌的生长不能预测伤口感染的发生。
