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Microbiology and risk factors for gram-positive Cocci bacteremia in biliary infections

Hepatobiliary & Pancreatic Diseases International 2020年第5期19卷 461-466页

作者： Ik Hyun Jo Yeon-Ji kim Woo Chul Chung Jaeyoung kim seonhoo kim Eun Sun Lim Honggeun Ahn Seong Yul Ryu Division of Gastroenterology Department of Internal MedicineSt.Vincent’s HospitalCollege of MedicineThe Catholic University of KoreaSuwon 16247Korea

Background:The rapid antibiotics treatment targeted to a specific pathogen can improve clinical outcomes of *** aimed to evaluate the clinical characteristics and outcomes of biliary septicemia caused by cholangitis or cholecystitis according to causative ***:We performed a retrospective cohort study in 151 patients diagnosed with cholangitis or cholecystitis with bacterial septicemia from January 2013 to December *** patients showed clinical evidence of biliary tract infection and had blood isolates that demonstrated ***:Gram-negative,gram-positive,and both types of bacteria caused 84.1%(127/151),13.2%(20/151),and 2.6%(4/151)episodes of septicemia,*** most common infecting organisms were Escherichia coli among gram-negative bacteria and Enterococcus species(Enterococcus casseliflavus and Enterococcus faecalis)among gram-positive *** were no differences in mortality,re-admission rate,and need for emergency decompression procedures between the gram-positive and gram-negative septicemia *** univariate analysis,previous gastrectomy history was associated with gram-positive *** analysis also showed that previous gastrectomy history was strongly associated with gram-positive septicemia(Odds ratio=5.47,95%CI:1.19–25.23;P=0.029).Conclusions:Previous gastrectomy history was related to biliary septicemia induced by gram-positive *** information would aid the choice of empirical antibiotics.

关键词： Cholangitis Cholecystitis Septicemia Gram-positive bacterial infections

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