Skip to main content
Annals of Surgery logoLink to Annals of Surgery
. 1976 Jun;183(6):667–671. doi: 10.1097/00000658-197606000-00008

A prospective study to determine the efficacy of antibiotics in acute pancreatitis.

W T Finch, J L Sawyers, S Schenker
PMCID: PMC1344270  PMID: 788655

Abstract

This study is a double "blind" prospective evaluation of the efficacy of antibiotics (Ampicillin) in the treatment of acute alcohol-induced and idiopathic pancreatitis. Fifty-eight patients with acute pancreatitis were randomly divided into antibiotic and non-antibiotic treatment groups. The two groups were comparable clinically at the onset of the study and other than for antibiotics received identical therapy. The patients without antibiotics had a clinical course equal or slightly more favorable than the antibiotic treatment group in all parameters examined. These data indicate that prophylactic use of Ampicillin is not indicated in patients with routine acute alcohol-induced or idiopathic pancreatitis. The role of prophylactic antibiotics in patients with pancreatitis related to biliary calculi and those with more severe varieties of acute hemorrhagic or necrotizing pancreatitis remains to be more clearly defined.

Full text

PDF
667

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BYRNE J. J., JOISON J. BACTERIAL REGURGITATION IN EXPERIMENTAL PANCREATITIS. Am J Surg. 1964 Feb;107:317–320. doi: 10.1016/0002-9610(64)90274-0. [DOI] [PubMed] [Google Scholar]
  2. Baker R. J. Acute surgical diseases of the pancreas. Surg Clin North Am. 1972 Feb;52(1):239–256. doi: 10.1016/s0039-6109(16)39646-3. [DOI] [PubMed] [Google Scholar]
  3. Cameron J. L., Capuzzi D. M., Zuidema G. D., Margolis S. Acute pancreatitis with hyperlipemia: the incidence of lipid abnormalities in acute pancreatitis. Ann Surg. 1973 Apr;177(4):483–489. doi: 10.1097/00000658-197304000-00017. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Evans F. C. Pancreatic abscess. Am J Surg. 1969 Apr;117(4):537–540. doi: 10.1016/0002-9610(69)90013-0. [DOI] [PubMed] [Google Scholar]
  5. Feller J. H., Brown R. A., Toussaint G. P., Thompson A. G. Changing methods in the treatment of severe pancreatitis. Am J Surg. 1974 Feb;127(2):196–201. doi: 10.1016/0002-9610(74)90157-3. [DOI] [PubMed] [Google Scholar]
  6. Geokas M. C., Van Lancker J. L., Kadell B. M., Machleder H. I. Acute pancreatitis. Ann Intern Med. 1972 Jan;76(1):105–117. doi: 10.7326/0003-4819-76-1-105. [DOI] [PubMed] [Google Scholar]
  7. Howes R., Zuidema G. D., Cameron J. L. Evaluation of prophylactic antibiotics in acute pancreatitis. J Surg Res. 1975 Feb;18(2):197–200. doi: 10.1016/0022-4804(75)90016-5. [DOI] [PubMed] [Google Scholar]
  8. Kodesch R., DuPont H. L. Infectious complications of acute pancreatitis. Surg Gynecol Obstet. 1973 May;136(5):763–768. [PubMed] [Google Scholar]
  9. Rahman F., Geokas M. C. Pancreatitis: mortality, antibiotics. Ann Intern Med. 1972 Jun;76(6):1044–1045. doi: 10.7326/0003-4819-76-6-1044_2. [DOI] [PubMed] [Google Scholar]
  10. Rahman F., Geokas M. C. Pancreatitis: mortality, antibiotics. Ann Intern Med. 1972 Jun;76(6):1044–1045. doi: 10.7326/0003-4819-76-6-1044_2. [DOI] [PubMed] [Google Scholar]
  11. Warshaw A. L. Pancreatic abscesses. N Engl J Med. 1972 Dec 14;287(24):1234–1236. doi: 10.1056/NEJM197212142872406. [DOI] [PubMed] [Google Scholar]
  12. Williams L. F., Jr, Byrne J. J. The role of bacteria in hemorrhagic pancreatitis. Surgery. 1968 Nov;64(5):967–972. [PubMed] [Google Scholar]
  13. Wyatt A. P. Diagnosis and management of acute pancreatitis. Ann R Coll Surg Engl. 1974 May;54(5):229–235. [PMC free article] [PubMed] [Google Scholar]

Articles from Annals of Surgery are provided here courtesy of Lippincott, Williams, and Wilkins

RESOURCES