Microbial Contamination, Infection, and Antimicrobial Use During Total Pancreatectomy With Islet Autotransplantation
OBJECTIVES: Total pancreatectomy with islet autotransplantation can relieve pain associated with chronic pancreatitis while preserving islet function. Islet preparations are often contaminated by enteric flora. We assessed the impact of contaminated islet preparations on the prevalence of postoperative infection.
METHODS: Electronic health records for patients who underwent total pancreatectomy with islet autotransplantation from August 1, 2011, to November 15, 2017 were retrospectively reviewed to compare the prevalence of postoperative infection in patients with a positive islet culture and islet culture negative patients.
RESULTS: Sixty-one patients were included. Twenty-nine patients (47.5%) had a positive islet culture, and 23 (79.3%) of these patients received antimicrobial prophylaxis. The prevalence of postoperative infection did not differ between the islet culture positive and islet culture negative groups (41% vs 34%, P = 0.57). No infections occurred in the 6 islet culture positive patients who did not receive prophylaxis. No difference in intensive care unit or hospital length of stay or in 30-day or 90-day readmission rates were observed.
CONCLUSIONS: Despite the common use of postoperative systemic antimicrobials, we observed no difference in the prevalence of postoperative infection, length of stay, or hospital readmission in patients receiving a contaminated islet preparation. If prophylactic antimicrobials are used, the duration should be minimized.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2019 |
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| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:48 |
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| Enthalten in: |
Pancreas - 48(2019), 8 vom: 01. Sept., Seite 1050-1055 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Trisler, Michael J [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 27.07.2020 Date Revised 27.07.2020 published: Print Citation Status MEDLINE |
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| doi: |
10.1097/MPA.0000000000001378 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM300145624 |
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| 245 | 1 | 0 | |a Microbial Contamination, Infection, and Antimicrobial Use During Total Pancreatectomy With Islet Autotransplantation |
| 264 | 1 | |c 2019 | |
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| 500 | |a Date Completed 27.07.2020 | ||
| 500 | |a Date Revised 27.07.2020 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVES: Total pancreatectomy with islet autotransplantation can relieve pain associated with chronic pancreatitis while preserving islet function. Islet preparations are often contaminated by enteric flora. We assessed the impact of contaminated islet preparations on the prevalence of postoperative infection | ||
| 520 | |a METHODS: Electronic health records for patients who underwent total pancreatectomy with islet autotransplantation from August 1, 2011, to November 15, 2017 were retrospectively reviewed to compare the prevalence of postoperative infection in patients with a positive islet culture and islet culture negative patients | ||
| 520 | |a RESULTS: Sixty-one patients were included. Twenty-nine patients (47.5%) had a positive islet culture, and 23 (79.3%) of these patients received antimicrobial prophylaxis. The prevalence of postoperative infection did not differ between the islet culture positive and islet culture negative groups (41% vs 34%, P = 0.57). No infections occurred in the 6 islet culture positive patients who did not receive prophylaxis. No difference in intensive care unit or hospital length of stay or in 30-day or 90-day readmission rates were observed | ||
| 520 | |a CONCLUSIONS: Despite the common use of postoperative systemic antimicrobials, we observed no difference in the prevalence of postoperative infection, length of stay, or hospital readmission in patients receiving a contaminated islet preparation. If prophylactic antimicrobials are used, the duration should be minimized | ||
| 650 | 4 | |a Journal Article | |
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| 700 | 1 | |a Kruer, Rachel M |e verfasserin |4 aut | |
| 700 | 1 | |a Jarrell, Andrew S |e verfasserin |4 aut | |
| 700 | 1 | |a Faghih, Mahya |e verfasserin |4 aut | |
| 700 | 1 | |a Walsh, Christi M |e verfasserin |4 aut | |
| 700 | 1 | |a Singh, Vikesh K |e verfasserin |4 aut | |
| 700 | 1 | |a Hall, Erica |e verfasserin |4 aut | |
| 700 | 1 | |a Kalyani, Rita R |e verfasserin |4 aut | |
| 700 | 1 | |a Makary, Martin A |e verfasserin |4 aut | |
| 700 | 1 | |a Hatfield, Laura A |e verfasserin |4 aut | |
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