Publication:

Relation of intraoperative bile culture to the postoperative morbidity in hepatopancreatic and biliary surgeries

Background The reported incidence of bacteria in bile is extremely variable 8%-42%. Several authors have been able to correlate the bacteria cultured from bile at operations with those subsequently causing wound infections and septicemia in postoperative period.

Methods This study was a prospective study conducted in Department of Surgical Gastroenterology at Sher-i-Kashmir Institute of Medical Sciences from July 2016 to June 2018. A total of 100 patients were included in study.

Results Mean age of the patients was 43.7±15.01, The most common organism found in our study was Escherichia coli (E. coli) and Klebsiella pneumoniae (K. pneumoniae) in 33.9%, E.coli and Enterococcus faecalis 21%, The monomicrobial infection was due to E coli 11.3%, The patients with bactibilia had more of wound infection 54.8% and intra-abdominal collections 17.7%, most common organism from bile was E. coli and K. pneumonia and same organisms were also cultured from wound sites.

Conclusions The preoperative intervention group should be considered potentially infected, requires careful operative technique to avoid spillage of bile on wound surfaces to decrease infection rates and morbidity.