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KMID : 0614619920240010042
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Korean Journal of Gastroenterology
1992 Volume.24 No. 1 p.42 ~ p.47
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Significance of Bile Culture in Hepatobiliary Surgery
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Abstract
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An experince of 180 cases of hepatobiliary operation with intraoperative bile culture were evaluated retrospectively from Oct. 1986 to Dec. 1990. The rate of positive culture was 75%. The results were as follows: #. coli was 51%, Klebsiella
species
were
16% and 85% of the positive cultures were gram-negative group. The incidence of the positive cultures increased with age of the patients. CBD obstruction, hyperbilirubinemia and acute cholecystitis also increased the incidence of positive
culture.
Postoperative wound infection was 4.4%. Preoperative positive blood cultrue were obtained in eight patients in this series. Five of these had positive blood culture and these microorganisms were identical to that of bile culture.
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KEYWORD
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