Estudos dos fatores de risco pré-operatórios para bacteriobilia em doentes portadores de colecistite aguda calculosa

Detalhes bibliográficos
Autor(a) principal: Linhares, Marcelo Moura [UNIFESP]
Data de Publicação: 2001
Outros Autores: Paiva, V. [UNIFESP], Castelo Filho, Adauto [UNIFESP], Granero, L.c.s. [UNIFESP], Pereira, Carlos Alberto Pires [UNIFESP], Machado, A.m.o. [UNIFESP], Goldenberg, Alberto [UNIFESP], Matos, Delcio [UNIFESP]
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da UNIFESP
dARK ID: ark:/48912/001300000mb86
Texto Completo: http://dx.doi.org/10.1590/S0104-42302001000100033
http://repositorio.unifesp.br/handle/11600/1117
Resumo: OBJECTIVE: to determine an association between the preoperative clinical status and the result of bile and gallbladder wall cultures. MATERIAL AND METHODS: 28 variables regarding history, physical examination and laboratorial assessment in 38 patients with acute calculosis cholecystitis submitted to urgency surgery were prospectively studied during a 19-month period, between November 1995 and May 1997. Cultures for aerobic and anaerobic agents from both the gallbladder wall and the bile were performed, in three different culture media (BACTEC 9240, BHI and HEMOBAC). RESULTS: bacteria were isolated in at least one culture medium, in 68.2% of the patients. At univariate analysis, five preoperative factors were identified as predictors of bactibilia: over 55 years of age, a greater than 0.4°C difference in the axillary-rectal temperature, a greater than 12.000 cels/m³ blood leukocyte count, a greater than 75% neutrophil percentage and a greater than 4% rod neutrophil percentage. Owing to the small sample size, statistical significance of the series could not be noted by logistic regression, although a trend to preoperative determination could be observed in 98% of the subjects with positive culture, by means of the model based on age and percentage of rod neutrophil. By analyzing predictive factors jointly, it was noted that patients with more than one predictive factor have a significantly greater possibility to yelding positive culture when compared to those with up to one predictive factor for bactibilia. CONCLUSIONS: We concluded that, in patients with acute calculosis cholecystitis, bactibilia may be predicted yet at the preoperative period, by using simple and easily obtained data.
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spelling Estudos dos fatores de risco pré-operatórios para bacteriobilia em doentes portadores de colecistite aguda calculosaStudy of preoperative risk factors for bactibilia in patients with calculosis acute cholecystitisBactibiliaAcute CholecystitisRisk FactorsBacteriobiliaColecistite AgudaFatores de RiscoOBJECTIVE: to determine an association between the preoperative clinical status and the result of bile and gallbladder wall cultures. MATERIAL AND METHODS: 28 variables regarding history, physical examination and laboratorial assessment in 38 patients with acute calculosis cholecystitis submitted to urgency surgery were prospectively studied during a 19-month period, between November 1995 and May 1997. Cultures for aerobic and anaerobic agents from both the gallbladder wall and the bile were performed, in three different culture media (BACTEC 9240, BHI and HEMOBAC). RESULTS: bacteria were isolated in at least one culture medium, in 68.2% of the patients. At univariate analysis, five preoperative factors were identified as predictors of bactibilia: over 55 years of age, a greater than 0.4°C difference in the axillary-rectal temperature, a greater than 12.000 cels/m³ blood leukocyte count, a greater than 75% neutrophil percentage and a greater than 4% rod neutrophil percentage. Owing to the small sample size, statistical significance of the series could not be noted by logistic regression, although a trend to preoperative determination could be observed in 98% of the subjects with positive culture, by means of the model based on age and percentage of rod neutrophil. By analyzing predictive factors jointly, it was noted that patients with more than one predictive factor have a significantly greater possibility to yelding positive culture when compared to those with up to one predictive factor for bactibilia. CONCLUSIONS: We concluded that, in patients with acute calculosis cholecystitis, bactibilia may be predicted yet at the preoperative period, by using simple and easily obtained data.OBJETIVO: Determinar uma associação entre o quadro clínico pré-operatório e os resultados das culturas de bile e da parece vesicular. CASUÍSTICA E MÉTODOS: Foram estudadas 28 variáveis considerando-se história clínica, exame físico e investigação laboratorial em 38 doentes portadores de colecistite aguda calculosa, submetidos à cirurgia de urgência. Este estudo prospectivo foi realizado em 19 meses, entre novembro de 1995 a maio de 1997. Foram realizadas culturas para agentes anaeróbios e aeróbios, em três diferentes meios de cultura (BACTEC 9240, BHI e HEMOBAC). RESULTADOS: Foram isoladas bactérias em pelo menos um meio de cultura em 68,2% dos doentes. Pela análise univariada, foram identificadas cinco variáveis pré-operatórias como preditivas de bacteriobilia: idade acima de 55 anos, temperatura diferencial axilo-retal maior do que 0,4°C, leucocitose acima de 12000 cels/mm³, neutrofilia acima de 75% e neutrófilos bastonetes acima de 4%. Devido ao pequeno tamanho da amostra, não pôde ser observada significância estatística por regressão logística, embora pudesse ser observada em 98% uma tendência para determinação pré-operatória dos indivíduos com cultura positiva por meio do modelo baseado na idade e porcentagem de neutrófilos bastonetes. Pela análise em conjunto dos fatores preditivos, pôde-se observar que doentes com mais de um fator preditivo têm uma possibilidade significantemente maior para cultura positiva, quando comparado com aqueles com fator preditivo de bacteriobilia. CONCLUSÃO: Conclui-se, portanto, que pela utilização de dados facilmente disponíveis em doentes com colecistite aguda calculosa, a bacteriobilia pode ser previsível no pré-operatório,.Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Disciplina de Gastroenterologia CirúrgicaUNIFESP, EPM, Disciplina de Gastroenterologia CirúrgicaSciELOAssociação Médica BrasileiraUniversidade Federal de São Paulo (UNIFESP)Linhares, Marcelo Moura [UNIFESP]Paiva, V. [UNIFESP]Castelo Filho, Adauto [UNIFESP]Granero, L.c.s. [UNIFESP]Pereira, Carlos Alberto Pires [UNIFESP]Machado, A.m.o. [UNIFESP]Goldenberg, Alberto [UNIFESP]Matos, Delcio [UNIFESP]2015-06-14T13:29:18Z2015-06-14T13:29:18Z2001-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion70-77application/pdfhttp://dx.doi.org/10.1590/S0104-42302001000100033Revista da Associação Médica Brasileira. Associação Médica Brasileira, v. 47, n. 1, p. 70-77, 2001.10.1590/S0104-42302001000100033S0104-42302001000100033.pdf0104-4230S0104-42302001000100033http://repositorio.unifesp.br/handle/11600/1117ark:/48912/001300000mb86porRevista da Associação Médica Brasileirainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-06T03:45:49Zoai:repositorio.unifesp.br/:11600/1117Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-12-11T20:24:48.219166Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Estudos dos fatores de risco pré-operatórios para bacteriobilia em doentes portadores de colecistite aguda calculosa
Study of preoperative risk factors for bactibilia in patients with calculosis acute cholecystitis
title Estudos dos fatores de risco pré-operatórios para bacteriobilia em doentes portadores de colecistite aguda calculosa
spellingShingle Estudos dos fatores de risco pré-operatórios para bacteriobilia em doentes portadores de colecistite aguda calculosa
Linhares, Marcelo Moura [UNIFESP]
Bactibilia
Acute Cholecystitis
Risk Factors
Bacteriobilia
Colecistite Aguda
Fatores de Risco
title_short Estudos dos fatores de risco pré-operatórios para bacteriobilia em doentes portadores de colecistite aguda calculosa
title_full Estudos dos fatores de risco pré-operatórios para bacteriobilia em doentes portadores de colecistite aguda calculosa
title_fullStr Estudos dos fatores de risco pré-operatórios para bacteriobilia em doentes portadores de colecistite aguda calculosa
title_full_unstemmed Estudos dos fatores de risco pré-operatórios para bacteriobilia em doentes portadores de colecistite aguda calculosa
title_sort Estudos dos fatores de risco pré-operatórios para bacteriobilia em doentes portadores de colecistite aguda calculosa
author Linhares, Marcelo Moura [UNIFESP]
author_facet Linhares, Marcelo Moura [UNIFESP]
Paiva, V. [UNIFESP]
Castelo Filho, Adauto [UNIFESP]
Granero, L.c.s. [UNIFESP]
Pereira, Carlos Alberto Pires [UNIFESP]
Machado, A.m.o. [UNIFESP]
Goldenberg, Alberto [UNIFESP]
Matos, Delcio [UNIFESP]
author_role author
author2 Paiva, V. [UNIFESP]
Castelo Filho, Adauto [UNIFESP]
Granero, L.c.s. [UNIFESP]
Pereira, Carlos Alberto Pires [UNIFESP]
Machado, A.m.o. [UNIFESP]
Goldenberg, Alberto [UNIFESP]
Matos, Delcio [UNIFESP]
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
dc.contributor.author.fl_str_mv Linhares, Marcelo Moura [UNIFESP]
Paiva, V. [UNIFESP]
Castelo Filho, Adauto [UNIFESP]
Granero, L.c.s. [UNIFESP]
Pereira, Carlos Alberto Pires [UNIFESP]
Machado, A.m.o. [UNIFESP]
Goldenberg, Alberto [UNIFESP]
Matos, Delcio [UNIFESP]
dc.subject.por.fl_str_mv Bactibilia
Acute Cholecystitis
Risk Factors
Bacteriobilia
Colecistite Aguda
Fatores de Risco
topic Bactibilia
Acute Cholecystitis
Risk Factors
Bacteriobilia
Colecistite Aguda
Fatores de Risco
description OBJECTIVE: to determine an association between the preoperative clinical status and the result of bile and gallbladder wall cultures. MATERIAL AND METHODS: 28 variables regarding history, physical examination and laboratorial assessment in 38 patients with acute calculosis cholecystitis submitted to urgency surgery were prospectively studied during a 19-month period, between November 1995 and May 1997. Cultures for aerobic and anaerobic agents from both the gallbladder wall and the bile were performed, in three different culture media (BACTEC 9240, BHI and HEMOBAC). RESULTS: bacteria were isolated in at least one culture medium, in 68.2% of the patients. At univariate analysis, five preoperative factors were identified as predictors of bactibilia: over 55 years of age, a greater than 0.4°C difference in the axillary-rectal temperature, a greater than 12.000 cels/m³ blood leukocyte count, a greater than 75% neutrophil percentage and a greater than 4% rod neutrophil percentage. Owing to the small sample size, statistical significance of the series could not be noted by logistic regression, although a trend to preoperative determination could be observed in 98% of the subjects with positive culture, by means of the model based on age and percentage of rod neutrophil. By analyzing predictive factors jointly, it was noted that patients with more than one predictive factor have a significantly greater possibility to yelding positive culture when compared to those with up to one predictive factor for bactibilia. CONCLUSIONS: We concluded that, in patients with acute calculosis cholecystitis, bactibilia may be predicted yet at the preoperative period, by using simple and easily obtained data.
publishDate 2001
dc.date.none.fl_str_mv 2001-03-01
2015-06-14T13:29:18Z
2015-06-14T13:29:18Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/S0104-42302001000100033
Revista da Associação Médica Brasileira. Associação Médica Brasileira, v. 47, n. 1, p. 70-77, 2001.
10.1590/S0104-42302001000100033
S0104-42302001000100033.pdf
0104-4230
S0104-42302001000100033
http://repositorio.unifesp.br/handle/11600/1117
dc.identifier.dark.fl_str_mv ark:/48912/001300000mb86
url http://dx.doi.org/10.1590/S0104-42302001000100033
http://repositorio.unifesp.br/handle/11600/1117
identifier_str_mv Revista da Associação Médica Brasileira. Associação Médica Brasileira, v. 47, n. 1, p. 70-77, 2001.
10.1590/S0104-42302001000100033
S0104-42302001000100033.pdf
0104-4230
S0104-42302001000100033
ark:/48912/001300000mb86
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv Revista da Associação Médica Brasileira
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 70-77
application/pdf
dc.publisher.none.fl_str_mv Associação Médica Brasileira
publisher.none.fl_str_mv Associação Médica Brasileira
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
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