Rising Incidence of Peri-Operative Bactibilia among Patients Undergoing Complex Biliopancreatic Surgery
Background: Biliary instrumentation is associated with bactibilia and post-operative infection. Bactibilia incidence over time remains unknown. Patients and Methods: Consecutive patients with bilioenteric anastomosis surgery and available surveillance intra-operative bile duct cultures were evaluate...
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| Veröffentlicht in: | Surgical infections 2022-02, Vol.23 (1), p.47-52 |
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| creator | Franko, Jan Chamberlain, Danielle M James, Austin B Collins, Alexander Tee, May C Le, Viet H Frankova, Daniela |
| description | Background:
Biliary instrumentation is associated with bactibilia and post-operative infection. Bactibilia incidence over time remains unknown.
Patients and Methods:
Consecutive patients with bilioenteric anastomosis surgery and available surveillance intra-operative bile duct cultures were evaluated for post-operative infection. The study period (2008–2019) was divided into quartiles to examine time-based trends.
Results:
Among 101 cases, 60 intra-operative bile duct cultures had no growth and 41 patients had documented at least one culture-positive isolate in their bile. Frequency of patients with culture-positive intra-operative bile increased over the study period (period 1, 1/28, 3.6% vs. period 2, 7/21, 33.3% vs. period 3, 15/26, 57.7% vs. period 4, 18/26, 69.2%; p |
| doi_str_mv | 10.1089/sur.2021.131 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2580696084</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2580696084</sourcerecordid><originalsourceid>FETCH-LOGICAL-c291t-498aef23fd191b98759f45a2949af81b9628cc9d896ee1fcddd015cf6d60aa263</originalsourceid><addsrcrecordid>eNp9kDtPwzAURi0EoqWwMaOMDKTYbuLaI614VKrUCugcufZ1ZZQ4wU4Q_fc4amFkulefjs5wELomeEwwF_eh82OKKRmTCTlBQ5Ln05SzaXYafyxYSgXLBugihA-MyZQydo4Gk4wRgXM-RLtXG6zbJQunrAanIKlNsgZv01UDXrb2C5KZVK3d2tLKRFZ1hNdxB9eGZOM0-F3dC-Z11ZTwncwiVzfSKQ-RUslb53fg95fozMgywNXxjtDm6fF9_pIuV8-L-cMyVVSQNs0El2DoxGgiyFbwaS5MlksqMiENjwujXCmhuWAAxCitNSa5MkwzLCVlkxG6PXgbX392ENqiskFBWUoHdRcKmnPMBMM8i-jdAVW-DsGDKRpvK-n3BcFFn7aIaYs-bRHTRvzmaO62Feg_-LdlBOgB6GfpXGlhC7793_oDBNOHVQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2580696084</pqid></control><display><type>article</type><title>Rising Incidence of Peri-Operative Bactibilia among Patients Undergoing Complex Biliopancreatic Surgery</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Franko, Jan ; Chamberlain, Danielle M ; James, Austin B ; Collins, Alexander ; Tee, May C ; Le, Viet H ; Frankova, Daniela</creator><creatorcontrib>Franko, Jan ; Chamberlain, Danielle M ; James, Austin B ; Collins, Alexander ; Tee, May C ; Le, Viet H ; Frankova, Daniela</creatorcontrib><description>Background:
Biliary instrumentation is associated with bactibilia and post-operative infection. Bactibilia incidence over time remains unknown.
Patients and Methods:
Consecutive patients with bilioenteric anastomosis surgery and available surveillance intra-operative bile duct cultures were evaluated for post-operative infection. The study period (2008–2019) was divided into quartiles to examine time-based trends.
Results:
Among 101 cases, 60 intra-operative bile duct cultures had no growth and 41 patients had documented at least one culture-positive isolate in their bile. Frequency of patients with culture-positive intra-operative bile increased over the study period (period 1, 1/28, 3.6% vs. period 2, 7/21, 33.3% vs. period 3, 15/26, 57.7% vs. period 4, 18/26, 69.2%; p < 0.001). Culture-positive post-operative infection (17/101; 16.8%) was not associated with intra-operative bile duct culture (p = 0.552), however, the same micro-organism isolate was identified on post-operative infection and intra-operative culture of bile duct bile among six of 17 patients (35.3%).
Conclusions:
We found an increasing incidence of bactibilia and post-operative culture-positive infections over the last decade. One-third of patients with a positive intra-operative bile duct culture experienced post-operative infection with the same organism, yet a clear link between bile colonization and post-operative infection was not established.</description><identifier>ISSN: 1096-2964</identifier><identifier>EISSN: 1557-8674</identifier><identifier>DOI: 10.1089/sur.2021.131</identifier><identifier>PMID: 34619058</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc., publishers</publisher><subject>Bile ; Biliary Tract ; Humans ; Incidence ; Original Articles ; Postoperative Complications - epidemiology</subject><ispartof>Surgical infections, 2022-02, Vol.23 (1), p.47-52</ispartof><rights>2022, Mary Ann Liebert, Inc., publishers</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c291t-498aef23fd191b98759f45a2949af81b9628cc9d896ee1fcddd015cf6d60aa263</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34619058$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Franko, Jan</creatorcontrib><creatorcontrib>Chamberlain, Danielle M</creatorcontrib><creatorcontrib>James, Austin B</creatorcontrib><creatorcontrib>Collins, Alexander</creatorcontrib><creatorcontrib>Tee, May C</creatorcontrib><creatorcontrib>Le, Viet H</creatorcontrib><creatorcontrib>Frankova, Daniela</creatorcontrib><title>Rising Incidence of Peri-Operative Bactibilia among Patients Undergoing Complex Biliopancreatic Surgery</title><title>Surgical infections</title><addtitle>Surg Infect (Larchmt)</addtitle><description>Background:
Biliary instrumentation is associated with bactibilia and post-operative infection. Bactibilia incidence over time remains unknown.
Patients and Methods:
Consecutive patients with bilioenteric anastomosis surgery and available surveillance intra-operative bile duct cultures were evaluated for post-operative infection. The study period (2008–2019) was divided into quartiles to examine time-based trends.
Results:
Among 101 cases, 60 intra-operative bile duct cultures had no growth and 41 patients had documented at least one culture-positive isolate in their bile. Frequency of patients with culture-positive intra-operative bile increased over the study period (period 1, 1/28, 3.6% vs. period 2, 7/21, 33.3% vs. period 3, 15/26, 57.7% vs. period 4, 18/26, 69.2%; p < 0.001). Culture-positive post-operative infection (17/101; 16.8%) was not associated with intra-operative bile duct culture (p = 0.552), however, the same micro-organism isolate was identified on post-operative infection and intra-operative culture of bile duct bile among six of 17 patients (35.3%).
Conclusions:
We found an increasing incidence of bactibilia and post-operative culture-positive infections over the last decade. One-third of patients with a positive intra-operative bile duct culture experienced post-operative infection with the same organism, yet a clear link between bile colonization and post-operative infection was not established.</description><subject>Bile</subject><subject>Biliary Tract</subject><subject>Humans</subject><subject>Incidence</subject><subject>Original Articles</subject><subject>Postoperative Complications - epidemiology</subject><issn>1096-2964</issn><issn>1557-8674</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kDtPwzAURi0EoqWwMaOMDKTYbuLaI614VKrUCugcufZ1ZZQ4wU4Q_fc4amFkulefjs5wELomeEwwF_eh82OKKRmTCTlBQ5Ln05SzaXYafyxYSgXLBugihA-MyZQydo4Gk4wRgXM-RLtXG6zbJQunrAanIKlNsgZv01UDXrb2C5KZVK3d2tLKRFZ1hNdxB9eGZOM0-F3dC-Z11ZTwncwiVzfSKQ-RUslb53fg95fozMgywNXxjtDm6fF9_pIuV8-L-cMyVVSQNs0El2DoxGgiyFbwaS5MlksqMiENjwujXCmhuWAAxCitNSa5MkwzLCVlkxG6PXgbX392ENqiskFBWUoHdRcKmnPMBMM8i-jdAVW-DsGDKRpvK-n3BcFFn7aIaYs-bRHTRvzmaO62Feg_-LdlBOgB6GfpXGlhC7793_oDBNOHVQ</recordid><startdate>20220201</startdate><enddate>20220201</enddate><creator>Franko, Jan</creator><creator>Chamberlain, Danielle M</creator><creator>James, Austin B</creator><creator>Collins, Alexander</creator><creator>Tee, May C</creator><creator>Le, Viet H</creator><creator>Frankova, Daniela</creator><general>Mary Ann Liebert, Inc., publishers</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20220201</creationdate><title>Rising Incidence of Peri-Operative Bactibilia among Patients Undergoing Complex Biliopancreatic Surgery</title><author>Franko, Jan ; Chamberlain, Danielle M ; James, Austin B ; Collins, Alexander ; Tee, May C ; Le, Viet H ; Frankova, Daniela</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c291t-498aef23fd191b98759f45a2949af81b9628cc9d896ee1fcddd015cf6d60aa263</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Bile</topic><topic>Biliary Tract</topic><topic>Humans</topic><topic>Incidence</topic><topic>Original Articles</topic><topic>Postoperative Complications - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Franko, Jan</creatorcontrib><creatorcontrib>Chamberlain, Danielle M</creatorcontrib><creatorcontrib>James, Austin B</creatorcontrib><creatorcontrib>Collins, Alexander</creatorcontrib><creatorcontrib>Tee, May C</creatorcontrib><creatorcontrib>Le, Viet H</creatorcontrib><creatorcontrib>Frankova, Daniela</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical infections</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Franko, Jan</au><au>Chamberlain, Danielle M</au><au>James, Austin B</au><au>Collins, Alexander</au><au>Tee, May C</au><au>Le, Viet H</au><au>Frankova, Daniela</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rising Incidence of Peri-Operative Bactibilia among Patients Undergoing Complex Biliopancreatic Surgery</atitle><jtitle>Surgical infections</jtitle><addtitle>Surg Infect (Larchmt)</addtitle><date>2022-02-01</date><risdate>2022</risdate><volume>23</volume><issue>1</issue><spage>47</spage><epage>52</epage><pages>47-52</pages><issn>1096-2964</issn><eissn>1557-8674</eissn><abstract>Background:
Biliary instrumentation is associated with bactibilia and post-operative infection. Bactibilia incidence over time remains unknown.
Patients and Methods:
Consecutive patients with bilioenteric anastomosis surgery and available surveillance intra-operative bile duct cultures were evaluated for post-operative infection. The study period (2008–2019) was divided into quartiles to examine time-based trends.
Results:
Among 101 cases, 60 intra-operative bile duct cultures had no growth and 41 patients had documented at least one culture-positive isolate in their bile. Frequency of patients with culture-positive intra-operative bile increased over the study period (period 1, 1/28, 3.6% vs. period 2, 7/21, 33.3% vs. period 3, 15/26, 57.7% vs. period 4, 18/26, 69.2%; p < 0.001). Culture-positive post-operative infection (17/101; 16.8%) was not associated with intra-operative bile duct culture (p = 0.552), however, the same micro-organism isolate was identified on post-operative infection and intra-operative culture of bile duct bile among six of 17 patients (35.3%).
Conclusions:
We found an increasing incidence of bactibilia and post-operative culture-positive infections over the last decade. One-third of patients with a positive intra-operative bile duct culture experienced post-operative infection with the same organism, yet a clear link between bile colonization and post-operative infection was not established.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc., publishers</pub><pmid>34619058</pmid><doi>10.1089/sur.2021.131</doi><tpages>6</tpages></addata></record> |
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| ispartof | Surgical infections, 2022-02, Vol.23 (1), p.47-52 |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Bile Biliary Tract Humans Incidence Original Articles Postoperative Complications - epidemiology |
| title | Rising Incidence of Peri-Operative Bactibilia among Patients Undergoing Complex Biliopancreatic Surgery |
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