Indications for Prophylactic Antibiotics Based On Cultures Taken During Elective Laparoscopic Sleeve Gastrectomy

Katherine E Hansen, DO, Marc Neff, MD. UMDNJ-SOM


ABSTRACT: The evidence to support prophylactic antibiotics in a clean-contaminated case are limited especially in regards to sleeve gastrectomy patients. To evaluate the necessity of prophylactic antibiotics, peritoneal fluid cultures were taken in ten laparoscopic sleeve gastrectomy cases after the transaction of the greater curvature of the stomach was complete. Both anaerobic and aerobic fluid cultures were obtained in these patients to determine if contamination occurred after the stapling procedure. Nine of the ten bariatric patients tested had negative cultures and one patient grew Methicillin resistant Staphylococcus aureus despite using the same methods and materials during the operative case. Despite the small sample size of patients in this study, there seems to be an indication to continue the use of prophylactic antibiotics during elective bariatric and other clean-contaminated surgeries.

Session Number: Poster – Poster Presentations
Program Number: P472
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