Ueda K, Sakagami H, Watanabe H, Ohtaguro K
Jpn J Antibiot. 1985 Jan;38(1):133-6.
Two antibiotics, piperacillin (PIPC) and cefoperazone (CPZ) were administered during operation and determined of efficacy for prevention of postoperative infections. Following administration of PIPC and CPZ during operation, high serum concentrations were obtained. In exudates not so high concentrations were achieved with either PIPC or CPZ. This was considered to be probably due to the period and methods of collection of specimens used in this study. Bacteriological studies of washings of wounds obtained during operation gave negative results in all cases. It was considered that administration of antibiotics during operation may suffice for prevention of postoperative infections for all cases with relatively short operation time excepting for cases operated for malignant tumors or urinary tract lithiasis.
手术期间使用了两种抗生素,哌拉西林(PIPC)和头孢哌酮(CPZ),并对预防术后感染的效果进行了测定。在手术期间给予PIPC和CPZ后,获得了较高的血清浓度。而在渗出液中,PIPC或CPZ均未达到如此高的浓度。这可能被认为是由于本研究中使用的标本采集时间和方法所致。手术期间获取的伤口冲洗液的细菌学研究在所有病例中均得出阴性结果。据认为,对于手术时间相对较短的所有病例,除了进行恶性肿瘤或尿路结石手术的病例外,手术期间使用抗生素可能足以预防术后感染。