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Background/Aims: This study assessed the antibiotic resistance organisms isolated from the blood and bile of acute cholangitis and evaluated risk factors associated with them and their impact on clinical outcomes.

Methods: The identities and antibiotic resistance profiles of bacteria isolated from 433 cases of acute cholangitis from 346 patients were analyzed. Risk factors and the outcomes of patients infected with them were assessed.

Results: Microorganisms were isolated from 266 of 419 blood cultures and 256 of 260 bile cultures. Isolates from bile and blood were identical in 71% of the cases. A total of 20 extended spectrum-β-lactamase (ESBL)-producers and 4 carbapenemase-producing organisms were isolated from blood, and 34 ESBL-producers and 13 carbapenemase-producers were isolated from bile. Sixty-four (14.8%) cases were infected with any one of these bacteria isolated from blood or bile. Risk factors associated with them in blood were nosocomial infection and prior biliary intervention. In bile, indwelling biliary device was a risk factor associated with them. Antibiotic-resistant bacteria were associated with mortality, independent of other prognostic factors.

Conclusions: ESBL or carbapenemase-producing bacteria were frequently isolated in acute cholangitis patients especially with prior biliary intervention and nosocomial infection. Isolation of antibiotic-resistant bacteria was an independent risk factor of mortality.

권호기사

권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
기사명 저자명 페이지 원문 목차
Benign colonic ^18^F-FDG uptake on whole-body FDG-PET scan Byung Ik Jang pp.109-110

Is antibiotic resistance microorganism becoming a significant problem in acute cholangitis in Korea? Sang-Heum Park pp.111-112

Gastric preparation for upper endoscopy Il Ju Choi pp.113-114

Value of endoscopic ultrasound-guided fineneedle aspiration Eun Young Kim pp.115-116

Endoscopic ultrasound-guided fine needle aspirationin submucosal lesion Jeong Seop Moon pp.117-123

Endoscopic ultrasound-guided fine needle aspirationin hollow viscus cancer Eun Young Kim pp.124-127

Endoscopic ultrasound-guided fine needle aspirationin cystic pancreatic lesions Robert H. Hawes, James Clancy, Muhammad K. Hasan pp.128-131

How can we get the best results with endoscopicultrasound-guided fine needle aspiration? Jayapal Ramesh, Shyam Varadarajulu pp.132-137

Non-steroidal anti-inflammatory drug-induced enteropathy Yun Jeong Lim, Chang-Hun Yang pp.138-144

Theclinical meaning of benign colon uptake in ^18^F-FDG PET: comparison with colonoscopic findings Sun Hee Roh, Sung-Ae Jung, Seong-Eun Kim, Hye-In Kim, Min Jin Lee, Chung Hyun Tae, Ju Young Choi, Ki-Nam Shim, Hye-Kyung Jung, Tae Hun Kim … [et al.] pp.145-150

Expression of MUC5AC and trefoil peptide 1(TFF1)in the subtypes of intestinal metaplasia Joo-Yong Song, Byung-Wook Kim, Ah-Won Lee, Kyo-Young Lee, In-Sik Chung, Bo-In Lee, Hwang Choi, Jeong-Seon Ji, Hiun-Suk Chae, Kyu-Yong Choi … [et al.] pp.151-154

Extended spectrum-β-lactamase or carbapenemase producing bacteria isolated from patients with acute cholangitis Ja Chung Goo, Mun Hyuk Seong, Young Kwang Shim, Hee Seung Lee, Jung-Ho Han, Kyeong Seob Shin, Jae-Woon Choi, Sei Jin Youn, Seon Mee Park pp.155-160

Effectiveness of premedication with pronase for visualization of the mucosa during endoscopy : a randomized, controlled trial Gyu Jin Lee, Seun Ja Park, Sun Jung Kim, Hyung Hun Kim, Moo In Park, Won Moon pp.161-164

Acase of giant lipoma causing chronic recurrentintussusception of the colon Chang Seob Lee, Mi Jin Lee, Kyoung Lee Kim, Yeon Soo Kim, Gwang Ho Baik, Jin Bong Kim, Dong Joon Kim, Sang Hak Han pp.165-168

Successful treatment of early gastric cancer adjacent to a fundal varix by endoscopic submucosal dissection and endoscopic cyanoacrylate therapy Yeon Soo Kim, Won Young Cho, Joo Young Cho, So Young Jin pp.169-173

Cecal fecaloma due to intestinal tuberculosis : endoscopic treatment Sun Moon Kim, Ki Hyun Ryu, Young Suk Kim, Tae Hee Lee, Euyi Hyeog Im, Kyu Chan Huh, Young Woo Choi, Young Woo Kang pp.174-176

Acase of ampullary perforation treated with a temporallycovered metal stent Woo Young Park, Kwang Bum Cho, Eun Soo Kim, Kyung Sik Park pp.177-180

참고문헌 (25건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Ascending infection of the biliary tract after surgical sphincterotomy and biliary stenting 네이버 미소장
2 Bornman PC, van Beljon JI, Krige JE. Management of cholangitis. J Hepatobiliary Pancreat Surg 2003;10:406-414. 미소장
3 Microbiology of bile in patients with cholangitis or cholestasis with and without plastic biliary endoprosthesis 네이버 미소장
4 Emergence of antibiotic resistance during therapy for infections caused by Enterobacteriaceae producing AmpC beta-lactamase: implications for antibiotic use. 네이버 미소장
5 Emergence of Enterobacteriaceae producing extended-spectrum beta-lactamases (ESBLs) in the community. 네이버 미소장
6 Community infections caused by extended-spectrum beta-lactamase-producing Escherichia coli. 네이버 미소장
7 Hawkey PM. Prevalence and clonality of extended-spectrum beta-lactamases in Asia. Clin Microbiol Infect 2008;14 Suppl 1:159-165. 미소장
8 Predictors of mortality in patients with bloodstream infections caused by extended-spectrum-beta-lactamase-producing Enterobacteriaceae: importance of inadequate initial antimicrobial treatment. 네이버 미소장
9 Risk factors of carbapenem-resistant Klebsiella pneumoniae infections: a matched case control study. 네이버 미소장
10 Heo JH, Lee JH, Lee MY, et al. Bacterial identification in bile and blood of patients with acute cholangitis from benign and malignant bile duct obstruction. Korean J Gastroenterol 2002;40:53-59. 미소장
11 Microbiology of choledochal bile in patients with choledocholithiasis admitted to a tertiary hospital. 네이버 미소장
12 Resistant pathogens in biliary obstruction: importance of cultures to guide antibiotic therapy. 네이버 미소장
13 Biliary tract infection and bacteraemia: presentation, structural abnormalities, causative organisms and clinical outcomes. 네이버 미소장
14 Multidrug resistance of isolated microorganisms in occluded bile duct stents. 네이버 미소장
15 Microbiologic Study of the Bile Culture and Antimicrobial Susceptibility in Patients with Biliary Tract Infection 소장
16 Wada K, Takada T, Kawarada Y, et al. Diagnostic criteria and severity assessment of acute cholangitis: Tokyo guidelines. J Hepatobiliary Pancreat Surg 2007;14:52-58. 미소장
17 Wikler MA; Clinical and Laboratory Standards Institute. Performance Standards for Antimicrobial Susceptibility Testing. Sixteenth Informational Supplement. Wayne: Clinical and Laboratory Standards Institute; 2006. 미소장
18 Sung JY, Costerton JW, Shaffer EA. Defense system in the biliary tract against bacterial infection. Dig Dis Sci 1992;37:689-696. 미소장
19 Routine bile collection for microbiological analysis during cholangiography and its impact on the management of cholangitis 네이버 미소장
20 Tanaka A, Takada T, Kawarada Y, et al. Antimicrobial therapy for acute cholangitis: Tokyo guidelines. J Hepatobiliary Pancreat Surg 2007;14: 59-67. 미소장
21 Hawkey PM, Jones AM. The changing epidemiology of resistance. J Antimicrob Chemother 2009;64 Suppl 1:i3-i10. 미소장
22 Evolution of antimicrobial susceptibility patterns of aerobic and facultative gram-negative bacilli causing intra-abdominal infections: results from the SMART studies 2003-2007. 네이버 미소장
23 Risk factors for the acquisition of carbapenem-resistant Escherichia coli among hospitalized patients 네이버 미소장
24 Extended-spectrum beta-lactamase-producing organisms. 네이버 미소장
25 Mortality and delay in effective therapy associated with extended-spectrum beta-lactamase production in Enterobacteriaceae bacteraemia: a systematic review and meta-analysis. 네이버 미소장

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