Eggert A, Wittmann D H, Schröder H J, Schimmel G
MMW Munch Med Wochenschr. 1977 Jul 15;119(28):955-8.
The symptomless bacterial contamination of the biliary tree is apt to be the origin of general or local postoperative complications. The present retrospective study of 369 bilary operations with intraoperative bacteriologica investigations yielded the following results: septic wound complications were found in 9% of the cases with bacteriocholia against 3.5% in the cases with abacterial bile. In geriatric patients with complicated gallstone disease the bacterial contamination of the bile exceeds 50% of all cases. The importance of an adequate antibiotic treatment for this group, starting intraoperatively, is stressed.
胆道系统的无症状细菌污染往往是术后全身或局部并发症的根源。本项对369例胆道手术进行术中细菌学调查的回顾性研究得出以下结果:胆汁有菌病例中9%发生了感染性伤口并发症,而胆汁无菌病例中这一比例为3.5%。在患有复杂胆结石疾病的老年患者中,胆汁细菌污染超过所有病例的50%。强调了针对该群体从术中开始进行充分抗生素治疗的重要性。