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A cross sectional study on Bacteriological profile and antibiogram of cholecystitis and cholelithiasis

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Research Paper 01/01/2021
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A cross sectional study on Bacteriological profile and antibiogram of cholecystitis and cholelithiasis

Dr Srinivas N, Dr Udayasri B
Int. J. Micro. Myco.12( 1), 1-7, January 2021.
Certificate: IJMM 2021 [Generate Certificate]
Key: Antimicrobial susceptibility testingBacteriological profileBile cultureCholecystitisCholelithiasis

Abstract

Cholecystitis is the most common disease of gastro intestinal tract contributing for 10% disease burden. Most of the time it is infective in origin. In view of the emerging multi drug resistance organisms, there is a need for guidance in empirical antimicrobial therapy in every clinical setting. To study the bacteriological profile and their antimicrobial susceptibility pattern in cholecystitis and cholelithiasis patients. A cross sectional study was conducted at Mamatha General Hospital, Kammam over a period of 2 years from September 2010 to September 2012. A total number of 62 clinically diagnosed cases of cholecystitis and cholelithiasis subjected to elective cholecystectomy were included in the study. Bile and gall stone samples were collected and processed aerobically, anaerobically according to standard microbiological techniques. Antimicrobial susceptibility testing was performed on all isolates by Kirby-bauer disc diffusion method and susceptibility pattern were recorded. A total number of 62 cases of cholecystitis were included in the study shows female preponderance of disease. Maximum number of cases belongs to 41 to 50 years age group. Out of 62 patients 62 bile samples and 58 gall stones specimen were collected and analyzed. Bile culture was positive in 24 cholelithiasis cases (41.37%), Gallstone culture was positive in 9 cases (15.51%). The two bile samples yielded anaerobic growth. Escherichia coli was the predominant organism in both samples. Bacterial isolates showing maximum susceptibility to ampicillin-sulbactum (100%), amikacin (80%). To optimized empirical antimicrobial therapy in cholecystitis and cholelithiasis patients prior knowledge of the prevalence of various bacteria and their antimicrobial susceptibility pattern in is required.

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