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간이식 수술 전후 예방적 항생제 ampicillin/sulbactam의 적절성 평가
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  • 간이식 수술 전후 예방적 항생제 ampicillin/sulbactam의 적절성 평가
  • Appropriateness of Ampicillin/sulbactam as Prophylactic Antibiotics in Liver Transplantation
저자명
김영애,조윤숙,김향숙,이혜숙,이남준,이광웅,서경석,이주연,Kim. Young-Ae,Cho. Yoon-Sook,Kim. Hyang-Sook,Lee. Hye-Sook,Yi. Nam-Joon,Lee. Kwang-Woong,Suh. Ky
간행물명
한국임상약학회지
권/호정보
2012년|22권 4호|pp.324-329 (6 pages)
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한국임상약학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

The most common complication after liver transplantation (LT) is bacterial infection. The incidence of surgical site infections (SSIs) after LT was variable from 8.8%~37%. However, there has been no confirmed guideline in use of prophylactic antibiotics after LT. Ampicillin/sulbactam has been used as main prophylactic antibiotics after LT in Seoul National University Hospital (SNUH) according to the center protocol. The purpose of this study was to determine the incidence and risk factors for SSI after LT and to evaluate the appropriateness of prophylactic antibiotics. A total of 211 patients who underwent LT between July 2008 and June 2010 at SUNH were included. During study period, ampicillin/sulbactam was selected as prophylactic antibiotics in 140 patients (66.4%). A total of 43 patients (20.4%) developed infections and the incidence of SSI was noted in 28 patients (13.2%); 10.0% in ampicillin/sulbactam group and 19.4% in other antibiotics (p=0.049). The most common pathogen of SSI was MRSA (13 episodes, 49.4%). In multivariate analysis, choledochojejunostomy (OR: 7.0; 95% CI, 2.4-20.0) and lower serum albumin (OR: 3.7; 95% CI, 1.1-12.9) were found to be risk factors of SSIs. In conclusion, the incidence of SSIs after LT in this population was similar to those in other studies. Therefore, the prophylactic antibiotics protocol in LT at SNUH seems to be appropriate.