Tipo, sensibilidad y resistencia de bacterias en contenido biliar de pacientes colecistectomizados en el Hospital "Homero Castanier Crespo". Azogues.2014

Abstract

Objective: To identify the type, sensitivity and resistance of bacteria in gallbladder bile of cholecystectomy patients. Location: hospital "Homero Castanier Crespo" Azogues city, in the period from February to August 2014. Materials and Methods: A descriptive study in which gallbladder bile samples from 100 patients of both sexes, aged between 0 and 80 years were collected. Measurements of the main results: cultures were performed at each of the samples; thereby determining the frequency of biliary infection, and set specimens frequently sensitivity - specific antibiotic resistance of the agents. Results: Of the samples obtained 77% belonged to the female and the remaining 23% were male, with an average age of 41.25 years. The number of positive results was 10%. The isolated microorganisms were Escherichia coli (50%), Klebsiella pneumoniae (30%) and Enterobacter spp (20%). Sensitive to most antibiotics commonly used in preoperative prophylaxis except Amoxicillin + Clavulanic acid, trimethoprim-sulfamethoxazole, ciprofloxacin and ceftriaxone. Conclusions: bacterial growth in the cultures was relatively low, with the Enterobacteriaceae, Gram negative, the most frequently encountered and although they have good range of sensitivity to antibiotics used in our community, we also show resistance to give us a warning signal to investigate depth and with a more meaningful for daring to suggest an appropriate prophylactic treatment in cases associated with biliary disease universe.