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Appendectomy as a Risk Factor for Bacteremic Biliary Tract Infection Caused by Antibiotic-Resistant Pathogens
Joint Authors
Kato, Jun
Abe, Hiroko
Kawanishi, Koki
Kinoshita, Jun
Kakimoto, Tetsuhiro
Yasuda, Yuko
Hara, Takeshi
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-05-15
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background/Aims.
Recent evidence has suggested that appendix plays a pivotal role in the development and preservation of intestinal immune system.
The aim of this study is to examine whether prior appendectomy is associated with an increased risk for the development of antibiotic-resistant bacteria in bacteremia from biliary tract infection (BTI).
Methods.
Charts from 174 consecutive cases of bacteremia derived from BTI were retrospectively reviewed.
Using multivariate analysis, independent risk factors for development of antibiotic-resistant bacteria were identified among the clinical parameters, including a history of appendectomy.
Results.
In total, 221 bacteria strains were identified from 174 BTI events.
Of those, 42 antibiotic-resistant bacteria were identified in 34 patients.
Multivariate analysis revealed that prior appendectomy (Odds ratio (OR), 3.02; 95% confidence interval (CI), 1.15–7.87; p=0.026), antibiotic use within the preceding three months (OR, 3.06; 95% CI, 1.26–7.64; p=0.013), and bilioenteric anastomosis or sphincterotomy (OR, 3.77; 95% CI, 1.51–9.66; p=0.0046) were independent risk factors for antibiotic-resistant bacteria.
Conclusions.
Prior appendectomy was an independent risk factor for the development of antibiotic-resistant bacteria in bacteremia from BTI.
American Psychological Association (APA)
Kawanishi, Koki& Kinoshita, Jun& Abe, Hiroko& Kakimoto, Tetsuhiro& Yasuda, Yuko& Hara, Takeshi…[et al.]. 2017. Appendectomy as a Risk Factor for Bacteremic Biliary Tract Infection Caused by Antibiotic-Resistant Pathogens. BioMed Research International،Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1135910
Modern Language Association (MLA)
Kawanishi, Koki…[et al.]. Appendectomy as a Risk Factor for Bacteremic Biliary Tract Infection Caused by Antibiotic-Resistant Pathogens. BioMed Research International No. 2017 (2017), pp.1-6.
https://search.emarefa.net/detail/BIM-1135910
American Medical Association (AMA)
Kawanishi, Koki& Kinoshita, Jun& Abe, Hiroko& Kakimoto, Tetsuhiro& Yasuda, Yuko& Hara, Takeshi…[et al.]. Appendectomy as a Risk Factor for Bacteremic Biliary Tract Infection Caused by Antibiotic-Resistant Pathogens. BioMed Research International. 2017. Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1135910
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1135910