Document Type
Article
Department
Surgery
Abstract
Abstract 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
Publication (Name of Journal)
JPMA: Journal of Pakistan Medical Association
Recommended Citation
Hadi, Y. B.,
Muhammad Waqas, .,
Umer,, H. M.,
Alam, A.,
Alvi, A.,
Khan, M. R.,
Shariff, A. H.
(2016). Bacterobilia in acute cholecystitis: bile cultures' isolates. JPMA: Journal of Pakistan Medical Association, 66(10), S-50-S-52.
Available at:
https://ecommons.aku.edu/pakistan_fhs_mc_surg_surg/113