Surgery; General Surgery
Acute cholecystitis is one of the most common acute surgical conditions. Laparoscopic cholecystectomy remains the mainstay of treatment. In patients managed non-operatively, antibiotics play an important role in the treatment of cholecystitis. The current retrospective observational study was conducted at a tertiary care hospital in Karachi, and comprised medical records of patients admitted between 2008 and 2014with acute cholecystitis and in whom bile cultures were obtained. Of the 509 patients with a mean age of 51.15 ± 13.4years, early laparoscopic cholecystectomy (within 72hours) was performed on 473(92.9%) cases, while the rest underwent percutaneous cholecystostomy. Bile cultureswere positive in 171(33.6%) patients. Predominantly gram-negative organisms were isolated among a total of 137(27%), with E.coli 63(46%) being the most commonly isolated organism. Of the gram-positive organism, enterococcus 11(8%) was the most common. Antibiotic sensitivities were determined.Based on our findings gram-negative coverage alone should be sufficient in our segment of the population.
JPMA: Journal of Pakistan Medical Association
Bashir Hadi,, Y.,
Umer,, H. M.,
Rizwan Khan, M.
(2016). Bacterobilia in acute cholecystitis: bile cultures' isolates, antibiotic sensitivities and antibiotic usage. a study on a Pakistani population.. JPMA: Journal of Pakistan Medical Association, 66(8), S50-S52.
Available at: http://ecommons.aku.edu/pakistan_fhs_mc_surg_surg/548