title: [Incidence of bacteria from cultures of bile and gallbladder wall of laparoscopic cholecystectomy patients in the University Hospital "Dr. José Eleuterio González"].
abstract: BACKGROUND
  Through experience it has been accepted that bile in normal conditions remains sterile. Bactibilia is a common finding in individuals at high risk or with complicated cholecystolithiasis, however few data prevails about the prevalence of bactibilia in patients operated on for uncomplicated laparoscopic cholecystectomy. There is s common usage of preoperative and postoperative antibiotics in the different patients without the existence of any actual bacteriologic and epidemiologic evidence.
  
  
  METHODS
  183 patients with diagnosis of cholecystolithiasis postoperated of laparoscopic cholecystectomy had their bile sent to bacteriology.
  
  
  RESULTS
  Bactibilia was identified in 31.95% of the cultures of mild cholecystitis and in 35.71% for moderate (p<.0001). A total of 125 negative cultures were obtained (68.3) and 58 positive (31.69%) with a prevalence of enterobacteria group (43.10%) and Enterococcus (27.58).
  
  
  CONCLUSIONS
  Comparing the groups according to severity there is a significant difference with regard to the presence of bactibilia, in addition to the bacterial groups cultivated. Fluoroquinolones and metronidazole is an option for the treatment of patients with the suspicion of bactibilia. The use of antibiotics is not justified in patients at low risk.
authors.affiliation: Servicio de Cirugía General, Hospital Universitario «Dr. José Eleuterio González», Monterrey, México.
authors.forename: Rubén
authors.initials: R
authors.lastname: Cueto-Ramos
authors.affiliation: Servicio de Cirugía General, Hospital Universitario «Dr. José Eleuterio González», Monterrey, México. Electronic address: hguedea@hotmail.com.
authors.forename: Marco
authors.initials: M
authors.lastname: Hernández-Guedea
authors.affiliation: Servicio de Cirugía General, Hospital Universitario «Dr. José Eleuterio González», Monterrey, México.
authors.forename: Edelmiro
authors.initials: E
authors.lastname: Pérez-Rodríguez
authors.affiliation: Servicio de Cirugía General, Hospital Universitario «Dr. José Eleuterio González», Monterrey, México.
authors.forename: Francisco
authors.initials: F
authors.lastname: Reyna-Sepúlveda
authors.affiliation: Servicio de Cirugía General, Hospital Universitario «Dr. José Eleuterio González», Monterrey, México.
authors.forename: Gerardo
authors.initials: G
authors.lastname: Muñoz-Maldonado
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001431:Bacteriological Techniques; D001646:Bile / Q000382:microbiology*; D017081:Cholecystectomy, Laparoscopic; D002764:Cholecystitis / Q000382:microbiology* / Q000601:surgery; D002769:Cholelithiasis / Q000382:microbiology* / Q000601:surgery; D003430:Cross-Sectional Studies; D004352:Drug Resistance, Microbial; D004755:Enterobacteriaceae / Q000302:isolation & purification*; D004756:Enterobacteriaceae Infections / Q000188:drug therapy / Q000382:microbiology*; D016983:Enterococcus / Q000302:isolation & purification*; D005260:Female; D005704:Gallbladder / Q000382:microbiology*; D016908:Gram-Positive Bacterial Infections / Q000188:drug therapy / Q000382:microbiology*; D006785:Hospitals, University; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged
chemical_list: D000900:Anti-Bacterial Agents
keywords: Antibioticoterapia; Bactibilia; Colecistectomía laparoscópica; Laparoscopic cholecystectomy; Treatment with antibiotics