Pattern of Bacterial Flora and Sensitivity in Bile Culture in Patient of Cholelithiasis Undergoing Laparoscopic Cholecystectomy
Journal Title: New Indian Journal of Surgery - Year 2017, Vol 8, Issue 1
Abstract
Introduction: Infective factor seems to be a major cause of formation of gallstones. Moynihan’s aphorism that “gall stone is a tomb stone erected in the memory of the organism with in it” is true today [1]. Evidence in favour of infection includes isolation of E. coli, bacterium typhosum, streptococcus from the gallbladder bile and from the center of the gallstones. Methodology: All patients who were subjected to laparoscopic cholecystectomy had their Gallbladder retrieved in a plastic endobag and bile collected in a culture bottle under strict aseptic precautions and transferred at room temperature in an hour to the laboratory for culture. Results: The organisms grown from bile culture were E-Coli 45.5%(41/90), Klebsiella 27.7% (25/90), Enterobacter 8.8% (8/90), Pseudomonas 7.7% (7/90), Staphyl-ococcus 2.2%(2/90), Non-fermenting gram negative bacilli 2.2%(2/90), and Citrobacter freundii 1.1%(1/90). Conclusion: Fluroquinolones (Levofloxacin/ Ofloxacin) may be used as first line drug for preoperative prophylaxis in gallstone diseases undergoing surgery.
Authors and Affiliations
Nitin Kumar Chavan
Comparative Study between Clipless Laparoscopic Cholecystectomy by Bipolar Cautery Versus Traditional Method Using Titanium Clips
Background: Cholecystectomy is the most common abdominal procedure performed for removal of gall bladder in cholelithiasis. Various advances have been made in the laparoscopic cholecystectomy procedures. Objective: To co...
A Clinical Study to Prove the Better Efficacy of Tinidazole over Metronidazole for the Treatment of Amoebic Liver Abscess
The Efficacy of Metronidazole and Tinidazole has been compared in 18 patients with Amoebic Liver Abscess. Only those with unequivocal clinical, radiological and laboratory evidence of Amoebic Liver Abscess were include...
Corset Liver: A Rare Acquired Morphological Variation
Morphological variations of liver are considered to be rare. Presence of such variations can have a clinical presentation involving the liver or the adjacent viscera. Accessory fissures and grooves of the liver can be ei...
Comparative Study of Fistulectomy and Fistulotomy in the Management of Fistula-in-ano
Context: Fistula-in-ano is a condition that has been described virtually from the beginning of medical history. A fistula is usually the result of a previous crypt abscess or glandular infection in the area which has bee...
Comparing Foam Sclerotherapy Combined with Saphenofemoral /Saphenopopliteal Junction Ligation with Surgery Alone for Varicose Veins
Background: Among chronic venous insufficiency, varicose veins are the most common manifestation affecting upto 25% of women and 15% of men [1]. While conventional surgical treatment for varicose veins has proven effec...