[Bacteriologic findings as a prognostic factor in the course of acute cholecystitis].
We made a bacteriological study of bile in a consecutive study of 210 patients studied in the General Surgery Department of the General Hospital of Elche (Spain) who underwent cholecystectomy for acute lithiasic cholecystitis, as a prognostic factor in the clinical evolution of these patients. The results obtained led us to the following conclusions. 1. The presence of positive bile culture is a risk factor predisposing to postoperative septic complications. 2. Bile cultures were more frequently positive in patients over 60-years-old. 3. In the early stages of the disease, positive cultures were more frequent. 4. The organism most often isolated was E. coli, so antibiotic treatment should be directed mainly against this agent.
Calpena Rico
R
R
Sánchez Llinares
J R
JR
Candela Polo
F
F
Pérez Vázquez
M T
MT
Vázquez Rojas
J L
JL
Diego Estévez
M
M
Compañ Rosique
A
A
Medrano Heredia
J
J
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000494:pharmacology; D001646:Bile / Q000382:microbiology*; D002764:Cholecystitis / Q000382:microbiology* / Q000601:surgery; D005260:Female; D006801:Humans; D007432:Intraoperative Period; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D011379:Prognosis
D000900:Anti-Bacterial Agents
Hallazgos bacteriológicos como factor pronóstico en la evolución de la colecistitis aguda.