The use of hand disinfectant containing antimicrobial agents is more effective than hand washing with water and soap in reducing carriage of Candida on the hands of hospital personnel. It is recommended that hospital personnel use an antimicrobial hand disinfectant in units where there is a high risk of Candida infection.
The aim of this study was to identify the microflora in the gallbladder of patients undergoing cholecystectomy for different types of gallstones and the antibiotic susceptibility pattern of the isolates. were from cholesterol stone-containing bile and 132 isolates (62.8%) from pigment stone-containing bile (P<0.01). The overall bacterial isolates from bile samples revealed Escherichia coli (E. coli) predominantly, followed by Pseudomonas aeruginosa (P. aeruginosa) and Enterococcus spp. In one sample, we found Candida lusitaniae (C. lusitaniae). None of the Gram negative strains were resistant to antibiotics but Gram positive strains were highly resistant to penicillins (100%). Looking at the microflora of the gallbladder and the susceptibility pattern of our isolates, we would suggest that antibiotic prophylaxis recommended for laparoscopic or open cholecystectomy for gallstones be reviewed and the role of bacteribilia in the surgical management of cholelithiasis requires further study.
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