12 research outputs found
Recurrent auricular hematoma: A case report
Othematoma (wrestler's ear) usually
occur as a result of blunt trauma during sports such as wrestling and boxing. The
perichondrium is separated from the cartilage by blood accumulation in the
subperichondrial space between the pericondrium and cartilage. Because of the
auricular cartilage does not have any of vascular structure, deterioration of perichondrial
nutrition results in redness, ecchymosis, and painful edema. In case of late treatment,
it causes deformities and necrosis in the ear. In this study, an otohematomas case
was presented which resulted in recurrent blows on the right ear of a patient
who was learned to be a wrestler
Microorganisms isolated from the bile of the patients who have undergone cholecystectomy and their antibiotic resistance pattern: multicenter prospective study
Background Gallbladder and biliary tract infections are diseases with high mortality rates if they are not treated properly.
Microbiological evaluation of perioperatively collected samples both ensures proper treatment of patients and guides empirical treatment due to the determination of microorganism susceptibility.
Aims This study aimed to isolate the microorganisms in bile cultures from patients who underwent cholecystectomy and to
determine sensitivity results of these microorganisms.
Methods This study was a multi-center and prospective design, included 360 patients, and was performed between 2019
and 2020. Culture results of bile taken during cholecystectomy were evaluated.
Results Bacterial growth was found in the bile cultures of 84 out of 360 (23.3%) patients. Patients were divided into two
groups according to whether they had risk factors for resistant microorganisms or not. While Escherichia coli (n=11, 13%),
Enterococcus spp. (n=8, 9.5%), and Enterobacter spp. (n=4, 4.7%) were detected most frequently in patients without risk.
Staphylococcus spp. (n=17, 20.2%), Enterococcus spp. (n=16, 19%), and E. coli (n=8, 9.5%) were the most frequently
found microorganism at-risk patients. In multivariate analysis, bile culture positivity was found higher in patients who had
history of biliary disease (p=0.004), operation performed concurrently with a cholecystectomy (p=0.035), and high rate
of polymorphonuclear leukocytes (PNL) in total leukocyte count (p=0.001).
Conclusions Our study shows that when starting empirical antibiotic treatment for bile ducts, whether patients are at risk
for the development of resistant bacterial infection should be evaluated after which antibiotic selection should be made
accordingly