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Article
July 1981

Intraoperative Culturing During Surgery for Acute Appendicitis

Author Affiliations

USAF
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
Abstract

• 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)

References
1.
Everson NW, Fossard DP, Nash JR, et al:  Wound infection following appendectomy: The effect of extraperitoneal wound drainage and systemic prophylaxis . Br J Surg 1977;64:236-238.Article
2.
Magarey CJ, Rickford CRK, Chant ADB, et al:  Peritoneal drainage and systemic antibiotics after appendectomy . Lancet 1971;2:179-182.Article
3.
Sinka AP:  Appendectomy: An assessment of the advisability of stump invagination . Br J Surg 1977;64:499-500.Article
4.
Mason JH, Byrne MP, Gau FC:  Surgery of the vermiform appendix . Surg Clin North Am 1977;57:1303-1315.
5.
Storer EH:  Appendix , in Schwartz SI, Hume DM, Lillehei RC, et al (eds): Principles of Surgery . New York, McGraw-Hill Book Co Inc, 1979, p 1263.
6.
Condon RE:  Apendicitis , in Sabiston DC (ed): Davis-Christopher Textbook of Surgery: The Biological Basis of Modern Surgical Practice . Philadelphia, WB Saunders Co, 1979, p 1075.
7.
Bartlet RC, Brewer NS, Ryan KJ:  Collection and processing of bacteriological specimens , in Cumulative Techniques and Procedures in Clinical Microbiology . Washington, DC, American Society for Microbiology, 1978, vol 9, pp 1-15.
8.
Leigh DA, Pease R, Henderson H, et al:  Prophylactic lincomycin in the prevention of wound infections following appendectomy: A double blind study . Br J Surg 1976;63:973-977.Article
9.
Leigh DA, Simmons K, Normal E:  Bacterial flora of the appendix fossa in appendicitis and postoperative wound infection . J Clin Pathol 1974;27:997-1000.Article
10.
Lari J, Kiak D, Howden R:  Bacteriological survey of acute appendicitis in children . Br J Surg 1976;63:643-646.Article
11.
MarChildon MB, Dodgeon DL:  Perforated appendicitis . Ann Surg 1977;185:84-87.Article
12.
Stone HH, Sanders SL, Geleber CE:  Incidence of significance of intraperitoneal anaerobic bacteria . Ann Surg 1975;181:705-715.Article
13.
Bernard HR, Cole WR:  The prophylaxis of surgical infection: The effect of prophylactic antimicrobial drugs on the incidence of infection following potentially contaminated operations . Surgery 1964;56:151-157.
14.
Polk HC:  Diminished surgical infection by systemic antibiotic administration in potentially contaminated operations . Surgery 1974;75:312-314.
15.
Stone HH, Hooper CA, Kolb LD, et al:  Antibiotic prophylaxis in gastric, biliary and colonic surgery . Ann Surg 1976;184:443-452.Article
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