{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T22:39:06Z","timestamp":1777934346172,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2015,6,25]],"date-time":"2015-06-25T00:00:00Z","timestamp":1435190400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Surgical Infections"],"published-print":{"date-parts":[[2015,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>In pancreatic surgery pre-operative biliary drainage (PBD) is associated with bacteribilia, which increases the risk for surgical site infections (SSIs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This study is a retrospective observational cohort design that compared micro-organisms of intra-operative bile duct cultures with micro-organisms of SSIs after pancreaticoduodenectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      From January 2004 until December 2010, 887 patients underwent pancreaticoduodenectomy or hepaticojejunostomy for benign and malignant peri-ampullary lesions. Surgical site infections occurred in 10% (87\/887). Cultures of SSIs with corresponding intra-operative bile duct cultures were available for 59 patients. Sixty-four percent (38\/59) had undergone PBD. Pre-operative biliary drainage was associated with positive intra-operative bile duct cultures in 95% (36\/38), versus 48% (10\/21; p\u22640.001). The correlation of SSIs with intra-operative bile duct cultures was 59% (35\/59). There was a significant association between the micro-organisms cultured from SSIs and the corresponding bile duct cultures for\n                      <jats:italic toggle=\"yes\">Enterococcus<\/jats:italic>\n                      spp.,\n                      <jats:italic toggle=\"yes\">Escherichia coli<\/jats:italic>\n                      ,\n                      <jats:italic toggle=\"yes\">Klebsiella pneumoniae<\/jats:italic>\n                      , methicillin-resistant\n                      <jats:italic toggle=\"yes\">Staphylococcus aureus<\/jats:italic>\n                      (MRSA), Enterobacteriaceae with extended spectrum \u00df-lactamase (ESBL), and\n                      <jats:italic toggle=\"yes\">Candida<\/jats:italic>\n                      spp.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>After pancreaticoduodenectomy, SSIs are often caused by the same micro-organisms that are present on intra-operative bile duct cultures, especially after PBD. Therefore, intra-operative bile duct cultures should be performed routinely to adjust the antibiotic prophylaxis according to the local hospital surveillance data.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/sur.2014.104","type":"journal-article","created":{"date-parts":[[2015,6,25]],"date-time":"2015-06-25T14:27:03Z","timestamp":1435242423000},"page":"443-449","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":28,"title":["The Impact of Bile Duct Cultures on Surgical Site Infections in Pancreatic Surgery"],"prefix":"10.1177","volume":"16","author":[{"given":"Torsten","family":"Herzog","sequence":"first","affiliation":[{"name":"Ruhr University Bochum","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orlin","family":"Belyaev","sequence":"additional","affiliation":[{"name":"Ruhr University Bochum","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rehsan","family":"Akkuzu","sequence":"additional","affiliation":[{"name":"Ruhr University Bochum","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janine","family":"H\u00f6lling","sequence":"additional","affiliation":[{"name":"Ruhr University Bochum","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Waldemar","family":"Uhl","sequence":"additional","affiliation":[{"name":"Ruhr University Bochum","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ansgar M.","family":"Chromik","sequence":"additional","affiliation":[{"name":"Ruhr University Bochum","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,6,25]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1086\/501572"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2003.10.006"},{"key":"e_1_3_2_4_2","first-page":"77","article-title":"Wound infection following biliary surgery. 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