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July 1981

Intraoperative Culturing During Surgery for Acute Appendicitis

Author Affiliations

From Wilford Hall USAF Medical Center, Lackland AFB, Tex (Dr Jaffers) and the Department of Surgery, Downstate Medical Center, Brooklyn, NY (Dr Pollock).

Arch Surg. 1981;116(7):866-868. doi:10.1001/archsurg.1981.01380190016004

• Consecutive records of 608 patients who underwent appendectomy for suspected acute appendicitis were retrospectively analyzed to evaluate the necessity and usefulness of intraoperative cultures. There were no operative deaths and postoperative infectious morbidity was 6.4%. Positive cultures were only weakly predictive of postoperative infection. Culture results did not influence selection of antibiotics. Routine intraoperative culturing during appendectomy is costly and unnecessary, except in patients at high risk.

(Arch Surg 1981;116:866-868)