TY  - JOUR
TI  - Evaluation of Blood Stream and Biliary  Tract Infections Related to Percutaneous  Transhepatic Cholangiography and  Prophylaxis Given in Patients with  Malignancy
AB  - Objective: Percutaneous transhepatic cholangiography (PTC) is an invasive procedure used  in patients with obstructive jaundice in the progress of some malignancies, and its most  common complication is infection. We aimed to evaluate the patients who underwent PTC  regarding their cultures, prophylaxis, and antibiotics used for treatment. Materials and Methods: In this cross-sectional study, patients who underwent PTC and  were followed up in a medical oncology outpatient clinic between 2010-2017 were evaluat ed retrospectively. Patients’ data were obtained from the hospital record system (FONET),  epicrisis forms, and patient progress files.  Results: A total of 93 patients were included in the study. Prophylaxis was given in 50% of  the cases. Complications developed in 68% of the cases after the intervention, and the in fectious disease clinic consulted all. Blood cultures were obtained from 89% of the febrile  patients; however, bile cultures were obtained only from 29%. The rate of resistant Gram negative enteric bacteria in growing microorganisms was 52% (n=13). It was determined  that 65% of the initiated empirical treatments were appropriate for the growth of microor ganisms. Conclusion: The growth rate was significantly higher in blood cultures than in bile cultures.  The lower growth rate in bile culture was attributed to the low number of bile cultures.  There was no significant difference regarding the growth rate and drug resistance of the mi croorganisms. Therefore, we think giving antibiotics as treatment rather than prophylaxis  is more appropriate. Taking cultures will ensure that patients receive appropriate antibiotic  therapy for the causative agent.
AU  - ARAZ, Halime
AU  - Eren, Tülay
AU  - kocagül çelikbaş, aysel
AU  - Ozdemir, Nuriye
DO  - 10.36519/idcm.2022.176
PY  - 2022
JO  - Infectious diseases and clinical microbiology (Online)
VL  - 4
IS  - 4
SN  - 2667-646X
SP  - 274
EP  - 279
DB  - TRDizin
UR  - http://search/yayin/detay/1171547
ER  -