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Related Experiment Videos

Intraoperative culturing during surgery for acute appendicitis

G J Jaffers, T W Pollock

    Archives of Surgery (Chicago, Ill. : 1960)
    |July 1, 1981
    PubMed
    Summary

    Intraoperative cultures during appendectomy are generally unnecessary and costly. Positive results weakly predict infection and do not guide antibiotic choice, except for high-risk patients.

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    Area of Science:

    • Surgical Pathology
    • Infectious Disease
    • Clinical Microbiology

    Background:

    • Appendectomy is a common surgical procedure for acute appendicitis.
    • Intraoperative cultures are sometimes used to guide antibiotic therapy.
    • The necessity and utility of routine intraoperative cultures in appendectomy remain debated.

    Purpose of the Study:

    • To evaluate the necessity and usefulness of intraoperative cultures during appendectomy for suspected acute appendicitis.
    • To determine if positive intraoperative cultures predict postoperative infection or influence antibiotic selection.

    Main Methods:

    • Retrospective analysis of consecutive records from 608 patients undergoing appendectomy.
    • Assessment of the correlation between intraoperative culture results and postoperative infectious morbidity.
    • Evaluation of the impact of culture results on antibiotic selection.

    Main Results:

    • No operative deaths occurred; postoperative infectious morbidity was 6.4%.
    • Positive intraoperative cultures were weakly predictive of postoperative infection.
    • Culture results did not influence the selection of antibiotics for patients.

    Conclusions:

    • Routine intraoperative culturing during appendectomy is generally not cost-effective or necessary.
    • Intraoperative cultures may be beneficial only in select high-risk patient populations.
    • The findings suggest a need to reconsider the routine use of intraoperative cultures in appendectomy.

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