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Abstract
Immediate gram stains were performed on gallbladder bile aspirated at the start of
an operation for biliary disease in 191 consecutive patients undergoing elective biliary
surgery. The results of the gram stains were telephoned to the operating theater within
20 minutes of collection. The over-all accuracy rate of the telephone gram stain reports
compared with the subsequent bile cultures was 77 percent. The incidence of false-positive
results was 12 percent, and false-negative results were recorded in 7 percent. The
organism was identified wrongly by the gram stain in 4 percent of patients. These
results have improved, with experience and the over-all accuracy rate of gram stains
on bile over the last 6 months have been 87 percent.
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References
- Rifamide in acute cholecystitis and biliary surgery.Br. Med. J. 1971; 3: 284
- The effective period of antibiotic action in experimental incisions and dermal lesions.Surgery. 1961; 50: 161
- Pre-operative antibiotics in biliary surgery.Arch. Surg. 1973; 107: 319
- Bacteriological investigations of the biliary system and liver in biliary disease correlated to clinical data and microstructure of the gall bladder and liver.Acta Chir. Scand. 1958; 116: 461
- Microorganisms of the liver, biliary tract and duodenal aspirates in biliary diseases.Scand. J. Gastroenterol. 1971; 6 (1971): 177
- Micro-organisms in the bile: A preventable cause of sepsis after biliary surgery.in: M. S. thesis. University of London, London1976
- Multivariate analysis of clinical and operative findings associated with biliary sepsis.Br. J. Surg. 1976; 63: 528
- Hazards of surgical treatment due to micro-organisms in the bile.Surgery. 1974; 75: 578
- Antibiotic treatment of biliary sepsis.Surg. Clin. North Am. 1975; 55: 1379
- Bacteria and disease of the biliary tract.Gut. 1971; 12: 487
Article info
Publication history
Accepted:
October 5,
1976
Footnotes
☆Presented at the Tripartite Meeting, Philadelphia, Pa., 1976.
Identification
Copyright
© 1977 Published by Elsevier Inc.