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[Incidence of bacteria from cultures of bile and gallbladder wall of laparoscopic cholecystectomy patients in the University Hospital "Dr. José Eleuterio González"].
Cir Cir 2017 Nov - Dec; 85(6):515-521CC

Abstract

BACKGROUND

Through experience it has been accepted that bile in normal conditions remains sterile. Bactibilia is a common finding in individuals at high risk or with complicated cholecystolithiasis, however few data prevails about the prevalence of bactibilia in patients operated on for uncomplicated laparoscopic cholecystectomy. There is s common usage of preoperative and postoperative antibiotics in the different patients without the existence of any actual bacteriologic and epidemiologic evidence.

MATERIAL AND METHODS

183 patients with diagnosis of cholecystolithiasis postoperated of laparoscopic cholecystectomy had their bile sent to bacteriology.

RESULTS

Bactibilia was identified in 31.95% of the cultures of mild cholecystitis and in 35.71% for moderate (p<.0001). A total of 125 negative cultures were obtained (68.3) and 58 positive (31.69%) with a prevalence of enterobacteria group (43.10%) and Enterococcus (27.58).

CONCLUSIONS

Comparing the groups according to severity there is a significant difference with regard to the presence of bactibilia, in addition to the bacterial groups cultivated. Fluoroquinolones and metronidazole is an option for the treatment of patients with the suspicion of bactibilia. The use of antibiotics is not justified in patients at low risk.

Authors+Show Affiliations

Servicio de Cirugía General, Hospital Universitario «Dr. José Eleuterio González», Monterrey, México.Servicio de Cirugía General, Hospital Universitario «Dr. José Eleuterio González», Monterrey, México. Electronic address: hguedea@hotmail.com.Servicio de Cirugía General, Hospital Universitario «Dr. José Eleuterio González», Monterrey, México.Servicio de Cirugía General, Hospital Universitario «Dr. José Eleuterio González», Monterrey, México.Servicio de Cirugía General, Hospital Universitario «Dr. José Eleuterio González», Monterrey, México.

Pub Type(s)

Journal Article
Observational Study

Language

spa

PubMed ID

28104282

Citation

Cueto-Ramos, Rubén, et al. "[Incidence of Bacteria From Cultures of Bile and Gallbladder Wall of Laparoscopic Cholecystectomy Patients in the University Hospital "Dr. José Eleuterio González"]." Cirugia Y Cirujanos, vol. 85, no. 6, 2017, pp. 515-521.
Cueto-Ramos R, Hernández-Guedea M, Pérez-Rodríguez E, et al. [Incidence of bacteria from cultures of bile and gallbladder wall of laparoscopic cholecystectomy patients in the University Hospital "Dr. José Eleuterio González"]. Cir Cir. 2017;85(6):515-521.
Cueto-Ramos, R., Hernández-Guedea, M., Pérez-Rodríguez, E., Reyna-Sepúlveda, F., & Muñoz-Maldonado, G. (2017). [Incidence of bacteria from cultures of bile and gallbladder wall of laparoscopic cholecystectomy patients in the University Hospital "Dr. José Eleuterio González"]. Cirugia Y Cirujanos, 85(6), pp. 515-521. doi:10.1016/j.circir.2016.10.030.
Cueto-Ramos R, et al. [Incidence of Bacteria From Cultures of Bile and Gallbladder Wall of Laparoscopic Cholecystectomy Patients in the University Hospital "Dr. José Eleuterio González"]. Cir Cir. 2017;85(6):515-521. PubMed PMID: 28104282.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Incidence of bacteria from cultures of bile and gallbladder wall of laparoscopic cholecystectomy patients in the University Hospital "Dr. José Eleuterio González"]. AU - Cueto-Ramos,Rubén, AU - Hernández-Guedea,Marco, AU - Pérez-Rodríguez,Edelmiro, AU - Reyna-Sepúlveda,Francisco, AU - Muñoz-Maldonado,Gerardo, Y1 - 2017/01/16/ PY - 2016/03/02/received PY - 2016/10/17/accepted PY - 2017/1/21/pubmed PY - 2018/8/25/medline PY - 2017/1/21/entrez KW - Antibioticoterapia KW - Bactibilia KW - Colecistectomía laparoscópica KW - Laparoscopic cholecystectomy KW - Treatment with antibiotics SP - 515 EP - 521 JF - Cirugia y cirujanos JO - Cir Cir VL - 85 IS - 6 N2 - BACKGROUND: Through experience it has been accepted that bile in normal conditions remains sterile. Bactibilia is a common finding in individuals at high risk or with complicated cholecystolithiasis, however few data prevails about the prevalence of bactibilia in patients operated on for uncomplicated laparoscopic cholecystectomy. There is s common usage of preoperative and postoperative antibiotics in the different patients without the existence of any actual bacteriologic and epidemiologic evidence. MATERIAL AND METHODS: 183 patients with diagnosis of cholecystolithiasis postoperated of laparoscopic cholecystectomy had their bile sent to bacteriology. RESULTS: Bactibilia was identified in 31.95% of the cultures of mild cholecystitis and in 35.71% for moderate (p<.0001). A total of 125 negative cultures were obtained (68.3) and 58 positive (31.69%) with a prevalence of enterobacteria group (43.10%) and Enterococcus (27.58). CONCLUSIONS: Comparing the groups according to severity there is a significant difference with regard to the presence of bactibilia, in addition to the bacterial groups cultivated. Fluoroquinolones and metronidazole is an option for the treatment of patients with the suspicion of bactibilia. The use of antibiotics is not justified in patients at low risk. SN - 2444-054X UR - https://www.unboundmedicine.com/medline/citation/28104282/[Incidence_of_bacteria_from_cultures_of_bile_and_gallbladder_wall_of_laparoscopic_cholecystectomy_patients_in_the_University_Hospital_"Dr._José_Eleuterio_González"] L2 - https://linkinghub.elsevier.com/retrieve/pii/S0009-7411(16)30111-6 DB - PRIME DP - Unbound Medicine ER -