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Microbiologic Data in Acute Cholecystitis: Ten Years' Experience from Bile Cultures Obtained during Percutaneous Cholecystostomy.

Abstract The aim of the study was to describe the microbiology and susceptibility patterns in acute cholecystitis by examining bile culture results from patients who underwent percutaneous cholecystostomy and examine concordance with empiric treatment.
PMID
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Percutaneous cholecystostomy for acute cholecystitis: ten-year experience.

Authors

Mayor MeshTerms
Keywords

antibiotics

bile

cholecystitis

culture

percutaneous cholecystostomy

Journal Title surgical infections
Publication Year Start




PMID- 28394748
OWN - NLM
STAT- MEDLINE
DA  - 20170410
DCOM- 20170417
LR  - 20170417
IS  - 1557-8674 (Electronic)
IS  - 1096-2964 (Linking)
VI  - 18
IP  - 3
DP  - 2017 Apr
TI  - Microbiologic Data in Acute Cholecystitis: Ten Years' Experience from Bile
      Cultures Obtained during Percutaneous Cholecystostomy.
PG  - 345-349
LID - 10.1089/sur.2016.232 [doi]
AB  - BACKGROUND: The aim of the study was to describe the microbiology and
      susceptibility patterns in acute cholecystitis by examining bile culture results 
      from patients who underwent percutaneous cholecystostomy and examine concordance 
      with empiric treatment. PATIENTS AND METHODS: A total of 124 patients with acute 
      cholecystitis underwent percutaneous cholecystostomy between 2003 and 2012 at
      Emek Medical Center, Israel. Data on bile and blood culture results, isolate
      susceptibility, and clinical outcomes were retrieved from patient files. RESULTS:
      Bile cultures obtained from 116 patients were positive in 70 (60.3%) patients.
      Blood cultures obtained from 77 patients were positive in 23 (31.1%). Escherichia
      coli was the most common isolate in 28.6% of bile cultures and 43.5% of blood
      cultures. The concordance between empiric treatment coverage and culture isolate 
      susceptibility was 67.6%. In most discordant cases, the isolates were
      Enterobacter spp. (40.9%) and Enterococcus spp. (31.8%). Overall, the in-hospital
      mortality rate was 7%: 2% in patients with concordant treatment compared with 14%
      in patients with discordant treatment (p = 0.09). Empiric antibiotic regimens
      were adequate in only two-thirds of patients. CONCLUSIONS: There might be a trend
      for poorer outcome in patients treated with inadequate antibiotic agents,
      emphasizing the importance of tailoring antibiotic treatment.
FAU - Nitzan, Orna
AU  - Nitzan O
AD  - 1 Infectious Disease Unit, Emek Medical Center , Afula, Israel .
AD  - 2 Infectious Disease Unit, Baruch Padeh Medical Center , Poriya, Israel .
AD  - 3 Faculty of Medicine in the Galilee, Bar Ilan University , Israel .
FAU - Brodsky, Yuri
AU  - Brodsky Y
AD  - 4 Department of Surgery A, Emek Medical Center , Afula, Israel .
FAU - Edelstein, Hana
AU  - Edelstein H
AD  - 1 Infectious Disease Unit, Emek Medical Center , Afula, Israel .
FAU - Hershko, Dan
AU  - Hershko D
AD  - 4 Department of Surgery A, Emek Medical Center , Afula, Israel .
AD  - 5 Technion-Rappaport Faculty of Medicine , Haifa, Israel .
FAU - Saliba, Walid
AU  - Saliba W
AD  - 5 Technion-Rappaport Faculty of Medicine , Haifa, Israel .
AD  - 6 Department of Community Medicine and Epidemiology, Carmel Medical Center ,
      Haifa, Israel .
FAU - Keness, Yoram
AU  - Keness Y
AD  - 7 Clinical Microbiology Laboratory, Emek Medical Center , Afula, Israel .
FAU - Peretz, Avi
AU  - Peretz A
AD  - 3 Faculty of Medicine in the Galilee, Bar Ilan University , Israel .
AD  - 8 Clinical Microbiology Laboratory, Baruch Padeh Medical Center , Poriya, Israel 
      .
FAU - Chazan, Bibiana
AU  - Chazan B
AD  - 1 Infectious Disease Unit, Emek Medical Center , Afula, Israel .
AD  - 5 Technion-Rappaport Faculty of Medicine , Haifa, Israel .
LA  - eng
PT  - Journal Article
DEP - 20170306
PL  - United States
TA  - Surg Infect (Larchmt)
JT  - Surgical infections
JID - 9815642
RN  - 0 (Anti-Bacterial Agents)
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Anti-Bacterial Agents/pharmacology/*therapeutic use
MH  - Bacteria/classification/*drug effects/isolation & purification
MH  - Bile/*microbiology
MH  - Cholecystitis, Acute/drug therapy/*microbiology/surgery
MH  - Cholecystostomy
MH  - Female
MH  - Humans
MH  - Israel
MH  - Male
MH  - Microbial Sensitivity Tests
MH  - Middle Aged
MH  - Treatment Outcome
OTO - NOTNLM
OT  - antibiotics
OT  - bile
OT  - cholecystitis
OT  - culture
OT  - percutaneous cholecystostomy
EDAT- 2017/04/11 06:00
MHDA- 2017/04/18 06:00
CRDT- 2017/04/11 06:00
AID - 10.1089/sur.2016.232 [doi]
PST - ppublish
SO  - Surg Infect (Larchmt). 2017 Apr;18(3):345-349. doi: 10.1089/sur.2016.232. Epub
      2017 Mar 6.

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