[Analysis of microbial flora during operation for cholangitis and other inflammatory deseases of the hepato-billiary system].

BACKGROUND: Inflammatory deseases of the billiary system are common in the hepato-billiary surgery. Most serious is the cholangitis. Treatment is based on individual approach of choice of moment of correct surgical intervention and corresponding adequate antibiotic therapy. AIM: Retrospective analysis of the experience of our clinic of the positive biliocultures and their antibiograms. MATERIALS AND METHODS: 152 positive biliocultures taken intraoperativly, for 10 years period. 48 of them are from patients with cholangitis. RESULTS: Analysis of count and species microbiological agents and their sensitivity to antibiogram antibiotics in table format. The data of the literature reviewed and discussed. CONCLUSIONS: Most common microbiological agents are E. coli 60%, Klebsiella 31%, Pseudomonas 24%. In 40% theres are more then one agent. Most common agents have big sensivity to Cefalosporines II-III generation, Amikacin, Ciprofloxacin and Carbapenems.