[Analysis of microbial flora during operation for cholangitis and other inflammatory deseases of the hepato-billiary system].
BACKGROUND
Inflammatory deseases of the billiary system are common in the hepato-billiary surgery. Most serious is the cholangitis. Treatment is based on individual approach of choice of moment of correct surgical intervention and corresponding adequate antibiotic therapy.


OBJECTIVE
Retrospective analysis of the experience of our clinic of the positive biliocultures and their antibiograms.


METHODS
152 positive biliocultures taken intraoperativly, for 10 years period. 48 of them are from patients with cholangitis.


RESULTS
Analysis of count and species microbiological agents and their sensitivity to antibiogram antibiotics in table format. The data of the literature reviewed and discussed.


CONCLUSIONS
Most common microbiological agents are E. coli 60%, Klebsiella 31%, Pseudomonas 24%. In 40% theres are more then one agent. Most common agents have big sensivity to Cefalosporines II-III generation, Amikacin, Ciprofloxacin and Carbapenems.
Zhivkov
E
E
Dimitrova
V
V
Popov
V
V
Tosheva
E
E
Taneva
I
I
D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000494:pharmacology / Q000627:therapeutic use*; D001660:Biliary Tract Diseases / Q000382:microbiology / Q000601:surgery; D002761:Cholangitis / Q000382:microbiology / Q000601:surgery; D002908:Chronic Disease; D006801:Humans; D007430:Intraoperative Care / Q000379:methods; D008826:Microbial Sensitivity Tests; D012189:Retrospective Studies
D000900:Anti-Bacterial Agents