Preoperative Biliary MRSA Infection in Patients Undergoing Hepatobiliary Resection with Cholangiojejunostomy: Incidence, Antibiotic Treatment, and Surgical Outcome

Takara, Daisuke; Sugawara, Gen; Yokoyama, Yukihiro; Igami, Tsuyoshi; Nagino, Masato

doi:10.1007/s00268-011-0990-1

Cited by 19 publications

(9 citation statements)

References 54 publications

(81 reference statements)

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“…In addition, 30%‐88% of the microorganisms isolated from postoperative infectious sources are identical to those found in the preoperative bile cultures 109–111 . Thus, the identification of microorganisms in bile before surgery is necessary to enable the selection of appropriate prophylactic and/or therapeutic antibiotics 111–114 …”

Section: Biliary Drainagementioning

confidence: 99%

Clinical practice guidelines for the management of biliary tract cancers 2019: The 3rd English edition

Nagino

Hirano

Yoshitomi

et al. 2020

J Hepato Biliary Pancreat

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145

106

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BackgroundThe Japanese Society of Hepato‐Biliary‐Pancreatic Surgery launched the clinical practice guidelines for the management of biliary tract cancers (cholangiocarcinoma, gallbladder cancer, and ampullary cancer) in 2007, then published the 2nd version in 2014.MethodsIn this 3rd version, clinical questions (CQs) were proposed on six topics. The recommendation, grade for recommendation, and statement for each CQ were discussed and finalized by an evidence‐based approach. Recommendations were graded as Grade 1 (strong) or Grade 2 (weak) according to the concepts of the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system.ResultsThe 31 CQs covered the six topics: (a) prophylactic treatment, (b) diagnosis, (c) biliary drainage, (d) surgical treatment, (e) chemotherapy, and (f) radiation therapy. In the 31 CQs, 14 recommendations were rated strong and 14 recommendations weak. The remaining three CQs had no recommendation. Each CQ includes a statement of how the recommendations were graded.ConclusionsThis latest guideline provides recommendations for important clinical aspects based on evidence. Future collaboration with the cancer registry will be key for assessing the guidelines and establishing new evidence.

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Section: Biliary Drainagementioning

confidence: 99%

Clinical practice guidelines for the management of biliary tract cancers 2019: The 3rd English edition

Nagino

Hirano

Yoshitomi

et al. 2020

J Hepato Biliary Pancreat

Self Cite

145

106

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“…In cases of extended hepatectomy for hilar bile duct carcinoma, patients with bile infection experience postoperative infectious complications more often than those without bile infection and the microorganisms isolated from postoperative infections are identical to those found in the preoperative cultures in 30–88% of cases . Therefore, identification of microorganisms in bile before surgery is necessary to enable selection of appropriate prophylactic and/or therapeutic antibiotics .…”

Section: Cq12: Is Bile Culture Necessary In Patients With Biliary Dramentioning

confidence: 99%

Clinical practice guidelines for the management of biliary tract cancers 2015: the 2^nd English edition

Miyazaki

Yoshitomi

Miyakawa³

et al. 2015

J Hepato Biliary Pancreat

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236

165

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Background The Japanese Society of Hepato-Biliary-Pancreatic Surgery launched the clinical practice guidelines for the management of biliary tract and ampullary carcinomas in 2008. Novel treatment modalities and handling of clinical issues have been proposed after the publication. New approaches for editing clinical guidelines, such as the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system, also have been introduced for better and clearer grading of recommendations. Methods Clinical questions (CQs) were proposed in seven topics. Recommendation, grade of recommendation and statement for each CQ were discussed and finalized by evidencebased approach. Recommendation was graded to grade 1 (strong) and 2 (weak) according to the concept of GRADE system. Results The 29 CQs covered seven topics: (1) prophylactic treatment, (2) diagnosis, (3) biliary drainage, (4) surgical treatment, (5) chemotherapy, (6) radiation therapy, and (7) pathology. In 27 CQs, 19 recommendations were rated strong and 11 recommendations weak. Each CQ included the statement of how the recommendation was graded. Conclusions This guideline provides recommendation for important clinical aspects based on evidence. Future collaboration with cancer registry will be a key for assessment of the guidelines and establishment of new evidence. Free full-text articles and a mobile application of this guideline are available via

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“…These results suggest that the microorganisms causing postoperative infectious complications originated from those that had infiltrated the bile. Therefore, detecting such microorganisms via preoperative monitoring of bile cultures may facilitate the selection of appropriate antimicrobial prophylaxis and therapeutic antimicrobial agents [ 2 , 22 , 25 , 26 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

The usefulness of preoperative bile cultures for hepatectomy with biliary reconstruction

Makino¹,

Ishii²,

Ogiso³

et al. 2022

Heliyon

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Preoperative Biliary MRSA Infection in Patients Undergoing Hepatobiliary Resection with Cholangiojejunostomy: Incidence, Antibiotic Treatment, and Surgical Outcome

Cited by 19 publications

References 54 publications

Clinical practice guidelines for the management of biliary tract cancers 2019: The 3rd English edition

Clinical practice guidelines for the management of biliary tract cancers 2019: The 3rd English edition

Clinical practice guidelines for the management of biliary tract cancers 2015: the 2^nd English edition

The usefulness of preoperative bile cultures for hepatectomy with biliary reconstruction

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Preoperative Biliary MRSA Infection in Patients Undergoing Hepatobiliary Resection with Cholangiojejunostomy: Incidence, Antibiotic Treatment, and Surgical Outcome

Cited by 19 publications

References 54 publications

Clinical practice guidelines for the management of biliary tract cancers 2019: The 3rd English edition

Clinical practice guidelines for the management of biliary tract cancers 2019: The 3rd English edition

Clinical practice guidelines for the management of biliary tract cancers 2015: the 2nd English edition

The usefulness of preoperative bile cultures for hepatectomy with biliary reconstruction

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Clinical practice guidelines for the management of biliary tract cancers 2015: the 2^nd English edition