ArticleFrontiers in surgery2026
Evaluation of microbiological cultures in patients with acute cholecystitis.
Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background and aims: Acute cholecystitis (AC) requires emergency care. Besides surgical interventions, adequate empirical antibiotic therapy is indispensable. We aimed to analyze bile samples obtained during surgical interventions for AC. The primary aim was determine sampling frequency, pathogen prevalence (including ESKAPE strains), and to create the cumulative antibiogram of the most common bacteria (including MDR pathogens). A secondary aim was to explore the potential relationship between pathogen type (ESKAPE, MDR) and different patient characteristics in acute cholecystitis. Methods: A retrospective observational study was conducted. Bile samples from patients undergoing acute cholecystectomy or percutaneous transhepatic gallbladder drainage for acute cholecystitis between 2005 and 2019 were analyzed. Cases were retrieved based on the respective ICD-10 codes. Descriptive and univariate methods were used. Results: During the study period there were 656 patients with AC; bile samples for microbiology were collected in 379 cases (57.8%). Overall, 412 bacteria, predominantly Gram-negative microbes (60.9%), were isolated. The most common bacteria included Conclusion: Microbiological sampling, identifying the most common pathogens and determining the antibiotic resistance profile in AC is important to determine the optimal empirical antibiotic choice.
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