2018 Volume 38 Issue 4 Pages 657-661
Blood culture is considered to be one of the useful tests for diagnosing acute abdomen, but the significance of blood culture in acute abdomen is still unclear. In 286 consecutive patients who underwent emergency surgery for acute abdomen from January 2015 to December 2016, the blood culture collection rate in each department and for each disease, and blood culture positive rate and short term outcome for each disease were examined. The blood culture collection rate was 54.2％, and in the first medical treatment department, the collection rate exceeded 60％ during emergency outpatient department and internal hospital ward hospitalization. In the collection rate for each disease, the collection rate exceeded 60％ in postoperative peritonitis and gastrointestinal perforation. Blood cultures were positive in 26 cases (9％) excluding 2 cases of contamination. In the digestive tract perforation, it was as high as 37％. In the case of blood culture─positive cases, the period of postoperative antibiotic drug administration and the postoperative hospital period were long, and the rate of incidence of postoperative complications was high. In patients with suspected sepsis in acute abdomen disease, blood culture would be a useful test.
