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Antibiotic use in acute cholecystitis: Practice patterns in the absence of evidence-based guidelines

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dc.contributor.author Kanafani Z.A.
dc.contributor.author Khalife N.
dc.contributor.author Kanj S.S.
dc.contributor.author Araj G.F.
dc.contributor.author Khalifeh M.
dc.contributor.author Sharara A.I.
dc.contributor.editor
dc.date Aug-2005
dc.date.accessioned 2017-10-05T16:07:39Z
dc.date.available 2017-10-05T16:07:39Z
dc.date.issued 2005
dc.identifier 10.1016/j.jinf.2004.11.007
dc.identifier.isbn
dc.identifier.issn 01634453
dc.identifier.uri http://hdl.handle.net/10938/19947
dc.description.abstract Objectives. Antibiotics are frequently administered in acute cholecystitis for preoperative prophylaxis or postoperative treatment. The optimal timing, choice, and duration of antibiotics are unclear. Methods. We conducted a retrospective review of all cases of acute cholecystitis between 1996 and 2001 at the American University of Beirut Medical Centre. A survey among general surgeons was also performed to describe the pattern of antibiotic prescribing in uncomplicated acute cholecystitis. A MEDLINE search for guidelines for antibiotic use in acute cholecystitis was conducted. Results. The number of cases of acute cholecystitis was 79. The mean duration of postoperative antibiotic therapy was 5 days. There was no correlation between the severity of symptoms, gallbladder description, or positive gallbladder culture and the use of antibiotics postoperatively. Sixty five percent of interviewed surgeons would continue antibiotic therapy postoperatively for 3 or more days. Search of the medical literature failed to provide clear guidelines for antibiotic use in acute cholecystitis. Conclusions. The use of antibiotics in patients with acute cholecystitis is erratic and costly. Prospective studies are needed to better study the effectiveness of a short course of antibiotics in uncomplicated cases. The role of gallbladder culture in guiding antibiotic therapy should be defined as routine cultures add to the cost without evident benefit. © 2004 The British Infection Society. Published by Elsevier Ltd. All rights reserved.
dc.format.extent
dc.format.extent Pages: (128-134)
dc.language English
dc.publisher LONDON
dc.relation.ispartof Publication Name: Journal of Infection; Publication Year: 2005; Volume: 51; no. 2; Pages: (128-134);
dc.relation.ispartofseries
dc.relation.uri
dc.source Scopus
dc.subject.other
dc.title Antibiotic use in acute cholecystitis: Practice patterns in the absence of evidence-based guidelines
dc.type Article
dc.contributor.affiliation Kanafani, Z.A., Division of Infectious Diseases, American University of Beirut Medical Center, P.O. Box 11-0236, Riad El Solh 110 72020 Beirut, Lebanon
dc.contributor.affiliation Khalifé, N., School of Pharmacy, Lebanese American University, Byblos, Lebanon
dc.contributor.affiliation Kanj, S.S., Division of Infectious Diseases, American University of Beirut Medical Center, P.O. Box 11-0236, Riad El Solh 110 72020 Beirut, Lebanon
dc.contributor.affiliation Araj, G.F., Department of Pathology and Laboratory Medicine, American University of Beirut Medical Center, P.O. Box 11-0236, Riad El Solh 110 72020 Beirut, Lebanon
dc.contributor.affiliation Khalifeh, M., Department of Surgery, American University of Beirut Medical Center, P.O. Box 11-0236, Riad El Solh 110 72020 Beirut, Lebanon
dc.contributor.affiliation Sharara, A.I., Division of Gastroenterology, American University of Beirut Medical Center, P.O. Box 11-0236, Riad El Solh 110 72020 Beirut, Lebanon
dc.contributor.authorAddress Sharara, A.I.; Division of Gastroenterology, American University of Beirut Medical Center, P.O. Box 11-0236, Riad El Solh 110 72020 Beirut, Lebanon; email: as08@aub.edu.lb
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Surgery;
dc.contributor.authorDepartment Surgery
dc.contributor.authorDivision
dc.contributor.authorEmail as08@aub.edu.lb
dc.contributor.authorFaculty Faculty of Medicine
dc.contributor.authorInitials Kanafani, ZA
dc.contributor.authorInitials Khalife, N
dc.contributor.authorInitials Kanj, SS
dc.contributor.authorInitials Araj, GF
dc.contributor.authorInitials Khalifeh, M
dc.contributor.authorInitials Sharara, AI
dc.contributor.authorOrcidID
dc.contributor.authorReprintAddress Sharara, AI (reprint author), Amer Univ Beirut, Med Ctr, Div Gastroenterol, POB 11-0236,Riad El Solh 110, Beirut 72020, Lebanon.
dc.contributor.authorResearcherID
dc.contributor.authorUniversity American University of Beirut Medical Center
dc.description.cited Brismar B, 1986, Acta Chir Scand Suppl, V530, P35; Bjorvatn B, 1984, Scand J Gastroenterol Suppl, V90, P65; CLAESSON B, 1984, ACTA CHIR SCAND, V150, P229; Csendes A, 1996, ARCH SURG-CHICAGO, V131, P389; FRIEDLENDER J, 1988, CHEMOTHERAPY, V34, P30; GRANDE M, 1992, EUR J SURG, V158, P109; GRANT MD, 1992, SURG GYNECOL OBSTET, V174, P347; Groezinger K H, 1987, Chemioterapia, V6, P590; HAVIG O, 1973, SCAND J GASTROENTERO, V8, P55; HORTON JD, 2002, FELDMAN SLEISENGER F, P1065; JARVINEN HJ, 1980, ACTA CHIR SCAND, V146, P427; Kapoor V K, 1994, Indian J Gastroenterol, V13, P49; KASHOLMTENGVE B, 1991, SURG GYNECOL OBSTET, V173, P25; KRAJDEN S, 1993, CAN J SURG, V36, P245; KUNE GA, 1975, MED J AUSTRALIA, V2, P627; Lai PBS, 1998, BRIT J SURG, V85, P764; LANDAU O, 1992, WORLD J SURG, V16, P962; LAU WY, 1990, AUST NZ J SURG, V60, P539, DOI 10.1111-j.1445-2197.1990.tb07422.x; LEWIS RT, 1984, CAN J SURG, V27, P44; LISHCHENKO AN, 1986, KHIRURGIYA, P51; Lo CM, 1998, ANN SURG, V227, P461, DOI 10.1097-00000658-199804000-00001; MEIJER WS, 1990, NETH J SURG, V42, P96; MULLER EL, 1987, SURG GYNECOL OBSTET, V165, P285; NIELSEN ML, 1981, SCAND J GASTROENTERO, V16, P937; PATERSONBROWN S, 1987, BRIT J HOSP MED, V37, P546; RICO RC, 1989, REV ESP ENFERM APAR, V76, P465; THOMPSON JE, 1990, ARCH SURG-CHICAGO, V125, P261; WATSON JF, 1969, MIL MED, V134, P416
dc.description.citedCount 15
dc.description.citedTotWOSCount 11
dc.description.citedWOSCount 9
dc.format.extentCount 7
dc.identifier.articleNo
dc.identifier.coden JINFD
dc.identifier.pubmedID 16038763
dc.identifier.scopusID 22144498067
dc.identifier.url
dc.publisher.address 32 JAMESTOWN RD, LONDON NW1 7BY, ENGLAND
dc.relation.ispartofConference
dc.relation.ispartofConferenceCode
dc.relation.ispartofConferenceDate
dc.relation.ispartofConferenceHosting
dc.relation.ispartofConferenceLoc
dc.relation.ispartofConferenceSponsor
dc.relation.ispartofConferenceTitle
dc.relation.ispartofFundingAgency
dc.relation.ispartOfISOAbbr J. Infect.
dc.relation.ispartOfIssue 2
dc.relation.ispartOfPart
dc.relation.ispartofPubTitle Journal of Infection
dc.relation.ispartofPubTitleAbbr J. Infect.
dc.relation.ispartOfSpecialIssue
dc.relation.ispartOfSuppl
dc.relation.ispartOfVolume 51
dc.source.ID WOS:000231155700007
dc.type.publication Journal
dc.subject.otherAuthKeyword Biliary
dc.subject.otherAuthKeyword Gallbladder
dc.subject.otherAuthKeyword Infection
dc.subject.otherAuthKeyword Surgery
dc.subject.otherAuthKeyword Survey
dc.subject.otherChemCAS amoxicillin plus clavulanic acid, 74469-00-4, 79198-29-1
dc.subject.otherChemCAS ampicillin, 69-52-3, 69-53-4, 7177-48-2, 74083-13-9, 94586-58-0
dc.subject.otherChemCAS carbapenem, 83200-96-8
dc.subject.otherChemCAS cephalosporin, 11111-12-9
dc.subject.otherChemCAS Anti-Bacterial Agents
dc.subject.otherIndex aminoglycoside antibiotic agent
dc.subject.otherIndex amoxicillin plus clavulanic acid
dc.subject.otherIndex ampicillin
dc.subject.otherIndex antibiotic agent
dc.subject.otherIndex carbapenem
dc.subject.otherIndex cephalosporin
dc.subject.otherIndex monobactam
dc.subject.otherIndex piperacillin plus tazobactam
dc.subject.otherIndex polypeptide antibiotic agent
dc.subject.otherIndex quinolone derivative
dc.subject.otherIndex acute cholecystitis
dc.subject.otherIndex adult
dc.subject.otherIndex aged
dc.subject.otherIndex antibiotic prophylaxis
dc.subject.otherIndex antibiotic sensitivity
dc.subject.otherIndex article
dc.subject.otherIndex bacterium culture
dc.subject.otherIndex cholecystectomy
dc.subject.otherIndex correlation analysis
dc.subject.otherIndex cost benefit analysis
dc.subject.otherIndex cost of illness
dc.subject.otherIndex drug cost
dc.subject.otherIndex Enterococcus
dc.subject.otherIndex Escherichia coli
dc.subject.otherIndex female
dc.subject.otherIndex gallbladder disease
dc.subject.otherIndex human
dc.subject.otherIndex information retrieval
dc.subject.otherIndex interview
dc.subject.otherIndex major clinical study
dc.subject.otherIndex male
dc.subject.otherIndex MEDLINE
dc.subject.otherIndex postoperative care
dc.subject.otherIndex practice guideline
dc.subject.otherIndex preoperative care
dc.subject.otherIndex prescription
dc.subject.otherIndex retrospective study
dc.subject.otherIndex surgeon
dc.subject.otherIndex systematic review
dc.subject.otherIndex Adult
dc.subject.otherIndex Aged
dc.subject.otherIndex Aged, 80 and over
dc.subject.otherIndex Anti-Bacterial Agents
dc.subject.otherIndex Cholecystectomy
dc.subject.otherIndex Cholecystitis, Acute
dc.subject.otherIndex Enterococcus
dc.subject.otherIndex Escherichia coli
dc.subject.otherIndex Evidence-Based Medicine
dc.subject.otherIndex Female
dc.subject.otherIndex Humans
dc.subject.otherIndex Lebanon
dc.subject.otherIndex Male
dc.subject.otherIndex Middle Aged
dc.subject.otherIndex Physician's Practice Patterns
dc.subject.otherIndex Practice Guidelines
dc.subject.otherIndex Questionnaires
dc.subject.otherIndex Retrospective Studies
dc.subject.otherKeywordPlus DELAYED LAPAROSCOPIC CHOLECYSTECTOMY
dc.subject.otherKeywordPlus HIGH-RISK PATIENTS
dc.subject.otherKeywordPlus BILIARY-TRACT
dc.subject.otherKeywordPlus RANDOMIZED-TRIAL
dc.subject.otherKeywordPlus PROPHYLAXIS
dc.subject.otherKeywordPlus SURGERY
dc.subject.otherKeywordPlus BILE
dc.subject.otherKeywordPlus GALLBLADDER
dc.subject.otherKeywordPlus INFECTION
dc.subject.otherKeywordPlus CEFAZOLIN
dc.subject.otherWOS Infectious Diseases


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