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

Keywords

Related Articles

Variations in the Obliteration of Processus Vaginialis in Indian Children

Background: During the intrauterine life, the testis is located just below the developing kidney within the abdomen. As the testis descends through the inguinal canal and enters into the scrotal sac it is accompanied by...

A Clinical Study of Effectiveness of Sac Eversion with Minimal Separation in the Treatment of Hydrocele

Context: Primary vaginal hydrocele is commonest disease worldwide. In tropics lymphatic filariasis is main cause. Surgery is treatment of choice. A number of methods are described. “Sac eversion with minimal separation”...

Hernia of Canal of Nuck

Introduction: Inguinal hernia in females is quite rare and is diagnosed late due to the rarity of this condition and hence lack of awareness. Hernia of canal of nuck can be managed by various methods but Non-mesh repair...

Reconstruction after Fourniers Gangrene: A Surgeon’s Experience

Background: Fournier gangrene often results in defects involving lower abdominal wall, perineum, scrotum with exposed testes. The coverage of these defects often is a challenge for the reconstructive surgeon. Reconstruc...

Study of Efficacy of Various Parameters in Predicting Strangulation Obstruction

Introduction: Strangulation is the most dreaded complication of bowel obstruction and has a great bearing on morbidity and mortality. Early diagnosis remains great concern to a surgeon, as strangulation carries considera...

Download PDF file
  • EP ID EP470353
  • DOI 10.21088/nijs.0976.4747.8117.12
  • Views 110
  • Downloads 0

How To Cite

Nitin Kumar Chavan (2017). Pattern of Bacterial Flora and Sensitivity in Bile Culture in Patient of Cholelithiasis Undergoing Laparoscopic Cholecystectomy. New Indian Journal of Surgery, 8(1), 59-62. https://europub.co.uk/articles/-A-470353