10.6084/m9.figshare.6992249.v1 Rafael Soares de OLIVEIRA1 Rafael Soares de OLIVEIRA1 Paula da SILVA Paula da SILVA Carlos Alfredo Salci QUEIROZ Carlos Alfredo Salci QUEIROZ Juverson Alves TERRA-JÚNIOR Juverson Alves TERRA-JÚNIOR Eduardo CREMA Eduardo CREMA PREVALENCE OF BACTERIOBILIA IN PATIENTS UNDERGOING ELECTIVE COLECYSTECTOMY SciELO journals 2018 Laparoscopic cholecystectomy Antibiotic prophylaxix Bile 2018-08-22 02:51:11 Dataset https://scielo.figshare.com/articles/dataset/PREVALENCE_OF_BACTERIOBILIA_IN_PATIENTS_UNDERGOING_ELECTIVE_COLECYSTECTOMY/6992249 <div><p>ABSTRACT Background: Cholelithiasis is one of the diseases with greater surgical indication. Currently, laparoscopic cholecystectomy is the gold standard in the treatment of cholelithiasis. Aim: To analyze the culture of bile from patients with cholelithiasis, mainly in the occurrence of brown and mixed stones. Methods: Was carried out a prospective study with 246 cases with biliary lithiasis who underwent elective laparoscopic cholecystectomy. Bile culture was performed in all. During anesthetic induction the patients received a single dose of intravenous cefazolin 1 g. At the end of the surgery, the gallbladder was punctured, its contents extracted and immediately placed in a sterile 20 ml propylene flask and promptly sent to bacterioscopy with Maconkey and blood agars. Incubation at 37° C for 24 h was carried out. A protocol was elaborated to include the main factors potentially related to cholelithiasis and the possible presence of associated bacterial infection. Results: Of the 246 patients, 201 had negative bile culture and 45 positive. Of the 45 patients with bacteriobilia, 34 had growth of a single type of bacterium in bile culture and 11 more than one. Conclusions: It was observed a relationship between bacteriobilia and age, suggesting that age is a risk factor for bacteriobilia. The use of antibiotic prophylaxis in the elderly is therefore recommended.</p></div>