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Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 1985 Nov;67(6):376–378.

A prospective randomised controlled trial of mezlocillin versus netilmicin in biliary surgery.

P Gillen, W Ryan, A L Peel
PMCID: PMC2498093  PMID: 3935034

Abstract

A prospective randomised controlled trial of mezlocillin versus netilmicin in 133 patients undergoing biliary surgery at a district hospital is reported. Sixty-four patients received mezlocillin and 69 received netilmicin. The two groups of patients were comparable with regard to age, sex, underlying pathology and operative procedures performed. The incidence of infected bile at operation was 14.2% and both antibiotics were equally effective in reducing postoperative bacteraemia (0.75%) and wound infection (4.5%) to acceptable levels. It is concluded that netilmicin is a more cost-effective antibiotic in biliary surgery than mezlocillin.

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Selected References

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

  1. Brogard J. M., Kopferschmitt J., Arnaud J. P., Dorner M., La Villaureix J. Biliary elimination of mezlocillin: an experimental and clinical study. Antimicrob Agents Chemother. 1980 Jul;18(1):69–76. doi: 10.1128/aac.18.1.69. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Chetlin S. H., Elliott D. W. Preoperative antibiotics in biliary surgery. Arch Surg. 1973 Aug;107(2):319–323. doi: 10.1001/archsurg.1973.01350200179037. [DOI] [PubMed] [Google Scholar]
  3. Keighley M. R., Flinn R., Alexander-Williams J. Multivariate analysis of clinical and operative findings associated with bilary sepsis. Br J Surg. 1976 Jul;63(7):528–531. doi: 10.1002/bjs.1800630709. [DOI] [PubMed] [Google Scholar]
  4. Keighley M. R. Micro-organisms in the bile. A preventable cause of sepsis after biliary surgery. Ann R Coll Surg Engl. 1977 Jul;59(4):328–334. [PMC free article] [PubMed] [Google Scholar]
  5. Morran C., McNaught W., McArdle C. S. Prophylactic co-trimoxazole in biliary surgery. Br Med J. 1978 Aug 12;2(6135):462–464. doi: 10.1136/bmj.2.6135.462. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Strachan C. J., Black J., Powis S. J., Waterworth T. A., Wise R., Wilkinson A. R., Burdon D. W., Severn M., Mitra B., Norcott H. Prophylactic use of cephazolin against wound sepsis after cholecystectomy. Br Med J. 1977 May 14;1(6071):1254–1256. doi: 10.1136/bmj.1.6071.1254. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Stubbs R. S., McLoy R. F., Blumgart L. H. Cholelithiasis and cholecystitis: surgical treatment. Clin Gastroenterol. 1983 Jan;12(1):179–201. [PubMed] [Google Scholar]
  8. Stubbs R. S. Wound infection after cholecystectomy: a case for routine prophylaxis. Ann R Coll Surg Engl. 1983 Jan;65(1):30–31. [PMC free article] [PubMed] [Google Scholar]
  9. Willis R. G., Lawson W. C., Hoare E. M., Kingston R. D., Sykes P. A. Are bile bacteria relevant to septic complications following biliary surgery? Br J Surg. 1984 Nov;71(11):845–849. doi: 10.1002/bjs.1800711113. [DOI] [PubMed] [Google Scholar]

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