Major Scope

  •  Colon and Rectal Surgery
  •  General Surgery
  •  Gynecologic Oncology
  •  Plastic Surgery
  •  Neurological Surgery
  •  Orthopaedic Surgery
  •  Orthopaedic Surgery of the Spine
  •  Neonatal Surgery
  •  Prenatal Surgery
  •  Trauma Surgery
  •  Surgical Intensivists, Specializing In Critical Care Patients
  •  Thoracic Surgery
  •  Congenital Cardiac Surgery
  •  Thoracic Surgery-Integrated
  •  Vascular Surgery

Abstract

Citation: Clin Surg. 2017;2(1):1396.Research Article | Open Access

Culture Results at Pancreatic Necrosectomy: The Microbiology of Infected Pancreatic Necrosis

Charles Coventry, Pranavan Palamuthusingam, Eu Ling Neo and Venkat Vanageti

Department of Surgery, Royal Adelaide Hospital, Australia
Senior Research Officer, James Cook University, Australia

*Correspondance to: Charles Coventry 

 PDF  Full Text DOI: 10.25107/2474-1647.1396

Abstract

Introduction: Necrotizing pancreatitis occurs in 5-10% of patients with acute pancreatitis. Infected pancreatic necrosis (IPN) is a feared complication. Historically, causative organisms were Gramnegative bacteria, but recent international studies now report a predominance of Gram-positive bacteria. Not all the literature is consistent, and there may be regional variation. There is very limited Australian data. This study aims to report causative organisms in IPN in the Australian setting.Materials and
Methods:
Retrospective medical record review of all patients who underwent pancreatic necrosectomy at a single centre (tertiary referral center in Adelaide, South Australia) between January 2005 and December 2015. Intraoperative culture specimens were reviewed and the Gram-status and antimicrobial sensitivities noted.Discussion and
Results: A total of 1296 patients were admitted for acute pancreatitis in the study period. 28 patients underwent pancreatic necrosectomy. Mean age 55.71 years (range 30-79), including twenty males and eight females. All patients had intraoperative cultures taken. 20 cultures demonstrated growth. There were 12 Gram-negative isolates (34.3%), 20 Gram-positive isolates (57.1%) and three fungal isolates (8.6%). Two bacterial isolates were antibiotic resistant organisms (one MRSA and one VRE).Conclusion: The findings were consistent with the majority of recent international studies demonstrating a predominance of Gram-positive organisms.

Keywords

Infected pancreatic necrosis; Pancreatic necrosectomy; Necrotizing pancreatitis

Cite the article

Coventry C, Palamuthusingam P, Neo EL, Vanageti V. Culture Results at Pancreatic Necrosectomy: The Microbiology of Infected Pancreatic Necrosis. Clin Surg. 2017; 2: 1396.

Journal Basic Info

  • Impact Factor: 2.395**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
  • NLM ID: 101702548

Search Our Journal

Journal Indexed In

Articles in PubMed

Sildenafil Transiently Delays Early Alveolar Bone Healing of Tooth Extraction Sockets
 PubMed  PMC  PDF  Full Text
Antimicrobial Peptides: A Potential Therapeutic Option for Surgical Site Infections
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

Changes in the Expression of Notch and HIF-1? Signaling Molecules in Prostate Cancer Progression
 Abstract  PDF  Full Text
A Novel Anatomical Locking Plate Fixation for T-Shaped Acetabular Fracture: Finite Element Analysis
 Abstract  PDF  Full Text
View More...