Page 26 - World Journal of Laparoscopic Surgery

Bacteriological Profile of Bile

Figs 1A to C: (A) Gallbladder with multiple stones; (B) Intact gallbladder; and (C) Cholesterosis of gallbladder

Fig. 2: Sex distribution Fig. 3: Distribution of surgical treatment procedure

Table 1: Age-group-wise distribution
Sl. no. Age-group Total %
1. 01–20 01 (0.8%)
2. 21–40 22 (17.4%)
3. 41–60 78 (62%)
4. >61 25 (19.8%)

was 34 (17%). We have included all ages of patients in our study,
in which maximum patients were in 41–60 age-group, 78 (62%)
followed by 25 (19.8%) in the age-group >61, 22 (17.4%) in 21–40
age-group, and 1 (0.8%) in 01–20 age-group (Figs 1 and 2, Table 1).
Out of 126 patients, 96 (76.2%) patients underwent laparoscopy
cholecystectomy, in 18 (14.3%) patients, open cholecystectomy
was performed, and in 12 (9.5%), laparoscopy surgery was converted
to open surgery (Fig. 3). Fig. 4: Bacteriological profile of bile
Out of 126 bile samples for culture and sensitivity, only 68
(54%) samples were culture-positive. E. coli 43 (63.2%) was the All Gram-negative bacterial isolates showed maximum sen-
most common isolate followed by Klebsiella spp. 17 (25%). Other sitivity toward imipenem, meropenem, piperacillin/tazobactam,
organisms isolated were 4 (6%) Pseudomonas spp., 2 (3%) Salmonella cefepime, and ceftriaxone/sulbactam. No organism was found to be
spp. and Staphylococcus aureus, and Acinetobacter 1 (1.4%) each. resistance to colistin and polymyxin B. Among gram-positive, bacte-
The remaining bile samples 58 (46%) were sterile (Fig. 4). rial isolates showed sensitivity to linezolid and teicoplanin (Table 2).

212 World Journal of Laparoscopic Surgery, Volume 15 Issue 3 (September–December 2022)