A STUDY FOR AEROBIC MICROBIOLOGICAL PROFILE OF BILE IN PATIENTS UNDERGOING GALLBLADDER SURGERY AND FOR ITS COMPLICATIONS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 53
Abstract
BACKGROUND Cholelithiasis is the most common disease found in Northern India. Cholecystectomy is the most common operation performed in our institution. Several studies showed a relationship between intra-operative bile culture and post-operative complications, but in our study, we did not find any such relations. The aim of this study is to study aerobic microbiological profile of bile in patients undergoing gallbladder surgeries and its relationship with post-operative complications. MATERIALS AND METHODS The study population included patients undergoing Gallbladder surgery during one-year period from September 2015 to August 2016. A detailed history was taken from the patient or from the attendant of patient and recorded in a predesigned proforma. Intra-operatively, bile was aspirated from the gallbladder and sent for culture and sensitivity before performing cholecystectomy. All patients were followed till 30 days after surgery for any post-operative complications like abdominal pain, fever, surgical site infections, wound dehiscence or any other complication. RESULTS Out of total 339 patients, bile culture was positive in 34 patients (10.03%), whereas culture was negative in 305 patients (89.97%). E. coli was the most common organism found in bile cultures in 16 patients (47.05%). Post-operative complications developed in 25 patients (07.37%) out of total 339 patients. Post-operative surgical site infection was observed in 23 patients out of 305 patients (07.54%) in whom bile culture was negative and observed in 02 patients out of 34 in whom bile culture was positive (05.88%). CONCLUSION In our study, the most common indication for cholecystectomy was gallstone disease. In the study, the presence of bacteria in gallbladder bile cultures was not significant to the development of surgical wound infection after cholecystectomy contrary to some of the studies, which have shown the relationship between bactibilia and post-operative complications.
Authors and Affiliations
Praful Bhagat, Atul Mahajan, Anupam Nanda
Keywords
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- EP ID EP220262
- DOI 10.14260/Jemds/2017/865
- Views 79
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