Survey on the current status of the indication and implementation protocols for bile replacement in patients with external biliary drainage with special reference to infection control.
Bacterial load
Bile replacement
External biliary drainage
Indication
Journal
Surgery today
ISSN: 1436-2813
Titre abrégé: Surg Today
Pays: Japan
ID NLM: 9204360
Informations de publication
Date de publication:
Oct 2022
Oct 2022
Historique:
received:
19
08
2021
accepted:
16
01
2022
pubmed:
20
2
2022
medline:
28
9
2022
entrez:
19
2
2022
Statut:
ppublish
Résumé
This survey of bile replacement (BR) was conducted on patients with external biliary drainage to assess the current status of indication and implementation protocol of BR with special reference to infection control. A 12-item questionnaire regarding the performance of perioperative BR was sent to 124 institutions in Japan. BR was performed in 29 institutions, and the indication protocol was introduced in 19. BR was performed preoperatively in 11 institutions, pre- and postoperatively in 12, and postoperatively in 6. The methods used for BR administration included oral intake (n = 10), nasogastric tube (n = 1), enteral nutrition tube (n = 3), oral intake and enteral nutrition tube (n = 6), oral intake or nasogastric tube (n = 2), nasogastric tube and enteral nutrition tube (n = 2), and oral intake or nasogastric tube and enteral nutrition tube (n = 5). In 10 of 29 institutions, isolation of multidrug-resistant organisms and a high bacterial load were considered contraindications for the use of BR. Seven institutions experienced environmental contamination. Given the different implementation of BR among institutions, the appropriate indication and protocols for BR should be established for infection control.
Identifiants
pubmed: 35182252
doi: 10.1007/s00595-022-02475-x
pii: 10.1007/s00595-022-02475-x
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1446-1452Informations de copyright
© 2022. The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd.
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