Significance of bacterial culturing of prophylactic drainage fluid in the early postoperative period after liver resection for predicting the development of surgical site infections.

• 資料種別: 博士論文
• タイトル: Significance of bacterial culturing of prophylactic drainage fluid in the early postoperative period after liver resection for predicting the development of surgical site infections.
• 著者・編者: Ishioka, Kohei; Hokuto, Daisuke; Nomi, Takeo; Yasuda, Satoshi; Yoshikawa, Takahiro; Matsuo, Yasuko; Akahori, Takahiro; Nishiwada, Satoshi; Nakagawa, Kenji; Nagai, Minako; Nakamura, Kota; Ikeda, Naoya; Sho, Masayuki
• 著者標目: Ishioka, Kohei; Hokuto, Daisuke; Nomi, Takeo; Yasuda, Satoshi; Yoshikawa, Takahiro; Matsuo, Yasuko; Akahori, Takahiro; Nishiwada, Satoshi; Nakagawa, Kenji; Nagai, Minako; Nakamura, Kota; Ikeda, Naoya; Sho, Masayuki
• 出版事項: Springer Nature
• 出版年月日等: 2018-06
• 出版年（W3CDTF）: 2018-06
• 並列タイトル等: 手術部位感染の予測因子としての肝切除術後早期のドレーン排液培養の有用性
• タイトル（掲載誌）: Surgery today
• 巻号年月日等（掲載誌）: 48 6
• 掲載巻: 48
• 掲載号: 6
• 掲載ページ: 625-631
• ISSN（掲載誌）: ISSN : 0941-1291
• 授与機関名: 奈良県立医科大学
• 授与年月日: 2020-09-30
• 報告番号: 乙第1466号
• 学位: 博士（医学）
• 本文の言語コード: eng
• 件名標目: Liver resection; Surgical site infection; Prophylactic drainage; Culture
• 対象利用者: 一般
• 一般注記: type:Thesis; Purposes: The relationship between the results of bacterial drainage fluid cultures in the early postoperative period after liver resection and the development of surgical site infections (SSIs) is unclear. We evaluated the diagnostic value of bacterial cultures of drainage fluid obtained on postoperative day (POD) 1 after liver resection. Methods: The cases of all consecutive patients who underwent elective liver resection from January 2014 to December 2016 were analyzed. The association between a positive culture result and the development of SSIs was analyzed. Results: A total of 195 consecutive patients were studied. Positive drainage fluid cultures were obtained in 6 patients (3.1%). A multivariate analysis revealed that a positive drainage fluid culture was an independent risk factor for SSIs (odds ratio: 8.04, P = 0.035), and combined resection of the gastrointestinal tract was a risk factor for a positive drainage fluid culture (P = 0.006). Among the patients who did not undergo procedures involving the gastrointestinal tract, there was no association between drainage fluid culture positivity and SSIs. Conclusions: The detection of positive culture results for drainage fluid collected on POD 1 after liver resection was associated with SSIs. However, among patients who did not undergo procedures involving the gastrointestinal tract, it was not a predictor of SSIs.; 博士（医学）・乙第1466号・令和2年9月30日; © Springer Nature Singapore Pte Ltd. 2018; This is a post-peer-review, pre-copyedit version of an article published in Surgery today. The final authenticated version is available online at: http://dx.doi.org/10.1007/s00595-018-1629-8.; identifier:Surgery today Vol.48 No.6 p.625-631 (2018 Jun); identifier:09411291; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3782; identifier:Surgery today, 48(6): 625-631
• 一次資料へのリンクURL: fulltext; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3782/1/01%e4%b9%991466%e6%9c%ac%e6%96%87%e3%81%ae%e8%a6%81%e6%97%a8.pdf; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3782/2/02%e4%b9%991466%e5%af%a9%e6%9f%bb%e8%a6%81%e6%97%a8.pdf; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3782/3/03%e4%b9%991466%e6%9c%ac%e6%96%87.pdf
• オンライン閲覧公開範囲: インターネット公開
• 関連情報（DOI）: 10.1007/s00595-018-1629-8
• 掲載誌（NCID）: AA10824685; https://ci.nii.ac.jp/ncid/AA10824685
• 連携機関・データベース: 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• 提供元機関・データベース: 奈良県立医科大学 : 奈良県立医科大学機関リポジトリ GINMU