Le risque infectieux du patient cirrhotique opéré

Liver cirrhosis increases the risk of infectious disease and the risk of dying of an infectious disease. Preexisting sepsis increases postoperative morbidity and mortality in cirrhotic patients. The risk of infection of the operative site is not increased in cirrhotic contrarily to the risk of distant infection. Cirrhotic patients may receive nonspecific antibioprophylaxis except if they are susceptible to carry resistant bacterial strains requiring preoperative identification and adapted antibioprophylaxis. Bacterial translocation is the corner stone of postoperative infectious complications in cirrhotic but digestive tract decontamination has no benefit.