Postoperative choledochoscopy: Is routine antibiotic prophylaxis necessary? - A prospective randomized study

S. M. Sheen-Chen, F. F. Chou

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Background. Postoperative choledochoscopy-related infection has been reported in the literature. We performed a prospective randomized trial to investigate the value of antibiotic prophylaxis for the prevention of such endoscopy-related infection. Methods. In a 2-year period from 1990 to 1991, 84 patients with biliary lithiasis were included in the study and randomized. Forty-four patients received antibiotic prophylaxis (1 gm cephalothin intravenously 30 minutes before the procedure and 500 mg cephalexin orally every 6 hours for 3 days afterward). Forty patients in the control group did not receive any antibiotics. Results. There was no significant difference between the groups in age, sex, preprocedure liver function, serum amylase level, white cell count, and duration of the procedure. The results of bacteriologic studies of the bile were also comparable in the two groups. One patient in the control group had transient chill and fever after the procedure. Two patients in the antibiotic group and one patient in the control group had mild abdominal pain. Mild hemobilia was noted in one patient in the antibiotic group. These complications were treated conservatively without any event. No difference was evident in the complications and the success of postoperative choledochoscopy between the two groups. Conclusions. This prospective randomized study showed that routine antibiotic prophylaxis for postoperative choledochoscopy may be not necessary in selected conditions.

Original languageEnglish
Pages (from-to)170-175
Number of pages6
JournalSurgery
Volume115
Issue number2
Publication statusPublished - Jan 1 1994
Externally publishedYes

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Antibiotic Prophylaxis
Prospective Studies
Anti-Bacterial Agents
Control Groups
Hemobilia
Cephalexin
Cephalothin
Chills
Lithiasis
Amylases
Infection
Bile
Abdominal Pain
Endoscopy
Fever
Age Groups
Cell Count
Liver
Serum

ASJC Scopus subject areas

  • Surgery

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Postoperative choledochoscopy : Is routine antibiotic prophylaxis necessary? - A prospective randomized study. / Sheen-Chen, S. M.; Chou, F. F.

In: Surgery, Vol. 115, No. 2, 01.01.1994, p. 170-175.

Research output: Contribution to journalArticle

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