2007, Number 3
Rev Hosp Jua Mex 2007; 74 (3)
Bacterial flora in bile of acute cholangitis patients in General Surgery Service of Hospital Juarez de Mexico
Núñez TLA, Muñiz CM, Muñoz OR, Rodríguez-Wong U, García ÁJ, Pérez GR
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ABSTRACTIntroduction. The acute cholangitis of bile stones (AC), it is a frequent entity in the services of General Surgery. It takes place for the combination between obstruction and piogenus infection of the tree biliar. The obstruction can be due to multiple causes, but, the most frequent is the bile stones. It is established that the germens gramnegatives are the main infectious agents in the patients with acute cholangitis. The objective of the present work is to describe which were the germens more frequently detected in the cultivations of bile of patient with acute cholangitis in the General Surgery Department of the Hospital Juarez de Mexico between March of the 2004 to March of 2007 and to know to the antibiotics sensibility or resistant. Material and methods. Retrospective study of series of cases. They were included patient bigger than 18 years with acute cholangitis. In all cases cultivates of the bile were obtained during the surgery. Results. A total study of 35 cultivations bile of patients with acute cholangitis. The most frequently isolated germ was Escherichia coli (51.42%), Klebsiella pneumoniae (17%) and another grampositive.