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  1. European Journal of Clinical Microbiology & Infectious Diseases
  2. European Journal of Clinical Microbiology & Infectious Diseases : Volume 27
  3. European Journal of Clinical Microbiology & Infectious Diseases : Volume 27, Issue 9, September 2008
  4. The effect of bactibilia on the course and outcome of laparoscopic cholecystectomy
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European Journal of Clinical Microbiology & Infectious Diseases : Volume 36
European Journal of Clinical Microbiology & Infectious Diseases : Volume 35
European Journal of Clinical Microbiology & Infectious Diseases : Volume 34
European Journal of Clinical Microbiology & Infectious Diseases : Volume 33
European Journal of Clinical Microbiology & Infectious Diseases : Volume 32
European Journal of Clinical Microbiology & Infectious Diseases : Volume 31
European Journal of Clinical Microbiology & Infectious Diseases : Volume 30
European Journal of Clinical Microbiology & Infectious Diseases : Volume 29
European Journal of Clinical Microbiology & Infectious Diseases : Volume 28
European Journal of Clinical Microbiology & Infectious Diseases : Volume 27
European Journal of Clinical Microbiology & Infectious Diseases : Volume 27, Issue 12, December 2008
European Journal of Clinical Microbiology & Infectious Diseases : Volume 27, Issue 11, November 2008
European Journal of Clinical Microbiology & Infectious Diseases : Volume 27, Issue 10, October 2008
European Journal of Clinical Microbiology & Infectious Diseases : Volume 27, Issue 9, September 2008
Knowledge and misconceptions of tuberculosis in the general population in Serbia
Resistance, serotype and genetic diversity of Streptococcus pneumoniae-resistant strains isolated in the West Pomerania region of Poland in the years 2001–2005
Lemierre’s syndrome and other disseminated Fusobacterium necrophorum infections in Denmark: a prospective epidemiological and clinical survey
Detection of meticillin-resistant Staphylococcus aureus and Panton-Valentine leukocidin directly from clinical samples and the development of a multiplex assay using real-time polymerase chain reaction
The effect of bactibilia on the course and outcome of laparoscopic cholecystectomy
The role of intraoperative cultures at the time of reimplantation in the management of infected total joint arthroplasty
Mycelial forms of Coccidioides spp. in the parasitic phase associated to pulmonary coccidioidomycosis with type 2 diabetes mellitus
Evaluation of Pyrosequencing® technology for the identification of clinically relevant non-dematiaceous yeasts and related species
Clinical and molecular epidemiology of community-acquired, methicillin-resistant Staphylococcus aureus infections in children in central Greece
Outcome for invasive Staphylococcus aureus infections
HIV-related incremental yield of bleach sputum concentration and fluorescence technique for the microscopic detection of tuberculosis
Evaluation of real-time polymerase chain reaction assays for the detection of herpes simplex virus in swab specimens
Materno-fetal transmission of human coronaviruses: a prospective pilot study
Catheter-related bacteremia from femoral and central internal jugular venous access
Molecular characterisation of linezolid resistance in two vancomycin-resistant (VanB) Enterococcus faecium isolates using Pyrosequencing™
Rotavirus fecal antigen retrieval in infantile intussusception
Invasive pneumococcal disease in children up to 5 years of age in Poland
Oral therapy for urinary tract infections in infants aged 3 to 12 months
European Journal of Clinical Microbiology & Infectious Diseases : Volume 27, Issue 8, August 2008
European Journal of Clinical Microbiology & Infectious Diseases : Volume 27, Issue 7, July 2008
European Journal of Clinical Microbiology & Infectious Diseases : Volume 27, Issue 6, June 2008
European Journal of Clinical Microbiology & Infectious Diseases : Volume 27, Issue 5, May 2008
European Journal of Clinical Microbiology & Infectious Diseases : Volume 27, Issue 4, April 2008
European Journal of Clinical Microbiology & Infectious Diseases : Volume 27, Issue 3, March 2008
European Journal of Clinical Microbiology & Infectious Diseases : Volume 27, Issue 2, February 2008
European Journal of Clinical Microbiology & Infectious Diseases : Volume 27, Issue 1, January 2008
European Journal of Clinical Microbiology & Infectious Diseases : Volume 26
European Journal of Clinical Microbiology & Infectious Diseases : Volume 25
European Journal of Clinical Microbiology & Infectious Diseases : Volume 24
European Journal of Clinical Microbiology & Infectious Diseases : Volume 23
European Journal of Clinical Microbiology & Infectious Diseases : Volume 22
European Journal of Clinical Microbiology & Infectious Diseases : Volume 21
European Journal of Clinical Microbiology & Infectious Diseases : Volume 20
European Journal of Clinical Microbiology & Infectious Diseases : Volume 19
European Journal of Clinical Microbiology & Infectious Diseases : Volume 18
European Journal of Clinical Microbiology & Infectious Diseases : Volume 17
European Journal of Clinical Microbiology & Infectious Diseases : Volume 16

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The effect of bactibilia on the course and outcome of laparoscopic cholecystectomy

Content Provider Springer Nature Link
Author Galili, O. Eldar, S. Matter, I. Madi, H. Brodsky, A. Galis, I. Eldar, S.
Copyright Year 2008
Abstract Although bactibilia is an important condition of acute cholecystitis, its effect on the course and outcome of the infectious gallbladder disease has rarely been studied, particularly in relation to the laparoscopic procedure. The current study attempts to learn more about the inter-relationship between bactibilia and laparoscopic cholecystectomy during acute cholecystitis. Demographic, preoperative, operative, and postoperative data were prospectively collected in every patient with acute cholecystitis treated in the department of surgery at the Bnai Zion Medical Center, Israel. Intraoperative biliary samples were collected under aseptic conditions at the time of operation for bacteriologic examination and were routinely cultured in aerobic and anaerobic media for 3 days. The study population was divided into culture-positive and culture-negative groups, and the collected parameters were compared between the groups. Age over 60 years, a palpable gallbladder, temperature over 37.5°C, a white blood cell (WBC) count of more than 12,000/cc3, and serum alkaline phosphatase higher than 100 U/dL were all found to be factors capable of predicting bactibilia. Bactibilia was a significant factor associated with total, as well as infectious, operative complications. Bactibilia is considered to indicate an advanced stage of acute cholecystitis. In cases of laparoscopic cholecystectomy for infectious gallbladder disease, bactibilia is strongly associated with total, as well as local, infectious complications. Preoperative conditions such as older age, elevated temperature, a palpable gallbladder, elevated WBC count, and elevated serum levels of alkaline phosphatase can serve as predictors of bactibilia and its consequent complications. Although the sensitivity and specificity of the predictive factors for bactibilia are limited to 63% and 67%, respectively, in their presence during acute cholecystitis, conservative wide-spectrum antibiotics as the first-line therapy is appropriate, and, upon regimen failure, laparoscopic surgery by an experienced surgeon is indicated as the adjusted therapy.
Starting Page 797
Ending Page 803
Page Count 7
File Format PDF
ISSN 09349723
Journal European Journal of Clinical Microbiology & Infectious Diseases
Volume Number 27
Issue Number 9
e-ISSN 14354373
Language English
Publisher Springer-Verlag
Publisher Date 2008-03-28
Publisher Place Berlin, Heidelberg
Access Restriction One Nation One Subscription (ONOS)
Subject Keyword Internal Medicine Medical Microbiology
Content Type Text
Resource Type Article
Subject Infectious Diseases Microbiology (medical)
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