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[Bacteremia -- prevalence and associated factors in patients with acute calculous cholecystitis]. / Prevalência e fatores associados à bacteremia nos portadores de colecistite aguda litiásica.
Baitello, André Luciano; Colleoni Neto, Ramiro; Herani Filho, Benedito; Cordeiro, José Antônio; Machado, Antônia M O; Godoy, Moacir F; Gaia, Felipe Franco Pinheiro.
Afiliação
  • Baitello AL; Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, SP.
Rev Assoc Med Bras (1992) ; 50(4): 373-9, 2004.
Article em Pt | MEDLINE | ID: mdl-15666016
ABSTRACT

BACKGROUND:

Bacteremia seems to increase the morbidity and mortality in clinical and surgical conditions, however the importance and factors associated with it during acute calculous cholecystitis are not well established. The purpose of this study was to determine pre-operative prevalence, associated factors and prognosis of bacteremia in patients with acute calculous cholecystitis submitted to an emergency cholecystectomy.

METHODS:

A prospective study of 51 patients with histological diagnosis of acute calculous cholecystitis was designed. The Bactec System was used to detect bacteremia. Mean results of clinical and laboratory analyses were related to the presence of bacteremia.

RESULTS:

The pre-operative prevalence of bacteremia was of 15.68%. Age (P=0.024), heart rate (P=0.026), respiratory rate (P=0.028), serum creatinine (P=0.028) and presence of systemic inflammatory response syndrome (P=0.016) were positively associated with bacteremia. Bacteremic patients had statistically higher overall (P=0.045) and infectious (P=0.039) complication rates and longer hospitalization (P<0.005) including one death.

CONCLUSIONS:

Patients with acute calculous cholecystitis have a considerable prevalence of bacteremia in the pre-operative period. It is associated with old age, heart rate, respiratory rate, serum creatinine and systemic inflammatory response syndrome. In patients with acute calculous cholecystitis, presence of bacteremia may be associated to severity of the condition and poor outcome related to pos-operative complications.
Assuntos
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Base de dados: MEDLINE Assunto principal: Bacteriemia / Colecistite Aguda Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Limite: Adult / Aged / Aged80 / Humans / Middle aged País/Região como assunto: America do sul / Brasil Idioma: Pt Revista: Rev Assoc Med Bras (1992) Ano de publicação: 2004 Tipo de documento: Article
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Base de dados: MEDLINE Assunto principal: Bacteriemia / Colecistite Aguda Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Limite: Adult / Aged / Aged80 / Humans / Middle aged País/Região como assunto: America do sul / Brasil Idioma: Pt Revista: Rev Assoc Med Bras (1992) Ano de publicação: 2004 Tipo de documento: Article