2010, Number 3
Cir Cir 2010; 78 (3)
Velázquez-Mendoza JD, Álvarez-Mora M, Velázquez-Morales CA, Anaya-Prado R
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ABSTRACTBackground: Bactibilia is the presence of bacteria in gallbladder bile and may play a role in the appearance of septic complications. It has been related to increased rates of surgical site infection after cholecystectomy. In this study we investigated whether bactibilia correlates with the presence of surgical site infection after cholecystectomy.
Methods: In this observational and descriptive study we investigated those patients operated by open cholecystectomy because of chronic cholecystitis. Patients had bile culture during surgery (January-December 2006). There were two study groups: patients with negative biliary culture (group 1) and patients with positive biliary culture (group 2). Variables were age, gender, biliary culture reports, abscess, cellulitis, seroma, and hematoma. Statistical analysis included Pearson χ2 or Fisher’s exact test. For independent variables, Student t-test was used.
Results: Eighty patients were included (n = 40 per group). There we re 24 males (30%) and 56 females (70%) who had open cholecystectomy and had biliary culture. General morbidity was 42.50% and surgical site infection rate in general was 11.25%. There were two patients with abscesses and two patients with cellulitis in group 1. There were four patientswith abscesses and one patient with cellulitis in group 2. There was no statistically significant difference when comparing surgical site infection in both groups.
Conclusions: The presence of bacteria in gallbladder cultures does not correlate with the development of surgical site infection after open cholecystectomy.