Prevalence, pattern, sensitivity and resistance to antibiotics of different bacteria isolated from port site infection in low risk patients after elective laparoscopic cholecystectomy for symptomatic cholelithiasis at tertiary care hospital of Kashmir
Open accessAbstract
The aim of this study was to determine specific pattern of port site microbial colonisation, sensitivity and resistance to different antibiotics of bacteria isolated from port site infection (PSI) in low risk patients after elective laparoscopic cholecystectomy in surgical wards at tertiary care hospital of Kashmir. This is a prospective study. The study included 675 consecutive patients of postoperative PSI after elective laparoscopic cholecystectomy for symptomatic cholelithiasis over a period of 12 months. Culture swabs were taken from port sites with signs of PSI and transported to the microbiology laboratory. The positive swab cultures were subjected to antibiotic susceptibility test. The data obtained was analysed by using appropriate statistical analytical tests. The incidence of PSI after elective laparoscopic cholecystectomy is 6·7%. The commonest organism responsible for PSI is pseudomonas, 19 (42·2%) cases. Most of the strains of organisms isolated were resistant to commonly used antibiotics in the hospital,pseudomonas was found 100% resistant to the combination of ampicillin + sulbactum and ceftriaxone and it was sensitive to imipenem, amikacin and vancomycin in 89·47,57 and 52·63% of cases respectively. Our study will be helpful in choosing effective empirical prophylactic antibiotic therapy in cases of elective laparoscopic cholecystectomy and will have a great impact on morbidity and mortality in them because of PSI.
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Pseudomonas is the most common organism causing port-site infection, accounting for 19 (42.2%) cases.
“Pseudomonas is the most common organism causing PSI, accounting for 19 (42.2%) cases.”
From Insights Into Laparoscopic Port Site Complications: A Comprehensive Review (2024) · cites this paper as [15]
Following an elective laparoscopic cholecystectomy, 6.7% of patients experienced port-site infection.
“Following an elective laparoscopic cholecystectomy, 6.7% of patients experienced PSI.”
From Insights Into Laparoscopic Port Site Complications: A Comprehensive Review (2024) · cites this paper as [15]
Pseudomonas isolates were 100% resistant to ampicillin + sulbactam + ceftriaxone, but susceptible to imipenem, amikacin, and vancomycin in 89.47%, 57%, and 52.63% of cases, respectively.
“The majority of the isolates' strains were resistant to common antibiotics; for example, pseudomonas was found to be 100% resistant to ampicillin + sulbactam + ceftriaxone, but it was susceptible to imipenem, amikacin, and vancomycin in 89.47%, 57%, and 52.63% of cases, respectively [15].”
From Insights Into Laparoscopic Port Site Complications: A Comprehensive Review (2024) · cites this paper as [15]
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Cites
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Port site infection in laparoscopic surgery: a review of its management
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Insights Into Laparoscopic Port Site Complications: A Comprehensive Review
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“Mir et al. [15] Prospective cohort study on PSI Following an elective laparoscopic cholecystectomy, With advantages in terms of hospital stay and postoperative problems, laparoscopic colonic surgery is both feasible and substantially equivalent to open surgery [1].”
BackgroundInfluential
- Authors
- Mir, M. A., Malik, U. Y., Wani, H., & Bali, B. S.
- Affiliations
- Government Medical College (IN)
- Corresponding author
- Mir, Mohd Altaf
- ORCID
- Mir, Mohd Altaf
- Venue
- International Wound Journal
- Publisher
- Wiley
- Published
- 2012-03-13
- Volume
- 10
- Issue
- 1
- Pages
- 110-113
- ISSN
- 1742-4801 (ISSN-L)
- 1742-481X
- PMC
- PMC7950695
- OpenAlex
- W2029323465
- Cited by
- 21
- References
- 14
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2022: 3 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 2 · 2016: 2 · 2015: 2 · 2013: 3
- FWCI
- 1.63
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- International Wound Journal (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Surgical site infection prevention
- Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
- Health Sciences › Medicine › Surgery › Orthopedic Infections and Treatments
- Keywords
- port site infection, laparoscopic cholecystectomy, antibiotic resistance, antibiotic susceptibility, Pseudomonas, gallstones, postoperative infection, low-risk patients, Kashmir
- MeSH terms
- Cholelithiasis, Humans, India, Prospective Studies, Pseudomonas Infections, Staphylococcal Infections, Surgical Wound Infection, Incidence, Cholecystectomy, Laparoscopic, Elective Surgical Procedures, Antibiotic Prophylaxis, Drug Resistance, Bacterial, Methicillin-Resistant Staphylococcus aureus
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