BACTIBILIA AND THEIR SUSCEPTIBILITY PATTERNS IN PATIENTS UNDERGOING LAPROSCOPIC CHOLECYSTECTOMY
Objective: To determine the prevalence and spectrum of bactibilia and their susceptibility patterns in patients undergoing laproscopic cholecystectomy.
Materials & Methods: This was a cross-sectional study conducted in laboratory of Rehman Medical Institute (RMI). Reports of laproscopic bile cultures were taken from RMI archives from January to December 2017 and were analyzed for the presence of different microorganisms and their sensitivity to different antibiotics. The results were put into Microsoft Excel 2013 and analyzed using pivot tables in Microsoft Excel 2013.
Results: Total of 100 bile samples were cultured during the study period. Out of this 51% of the total samples yielded no growth whereas 49% of the samples were positive for different microorganisms. The microorganism showing least resistance to antibiotics were Entercoccus fecalis, Enterococcus species and Streptococcus species while Escherichia coli and Klebsiella pneumonia were found to be most resistance.
Conclusion: Most of the bile sample cultures did not yielded growth of any microogranisms. The most prevalent microorganism was Escherichia coli. Likewise, Escherichia coli and Klebsiella pneumonia were found to be most resistant. Amoxicillin/clavulanic acid, ceftazidime, ciprofloxacin and gentamicin were found to be least effective whereas, amikacin, clindamycin, norfloxacin, rifampicin and vancomycin were found to be most effective antibiotics.
Key Words: Bile Culture, Laparascopic Surgery, Antibiotics, Resistance, Rehman Medical Institute.