STREPTOCOCCAL BACTEREMIA IN HEPATOBILIARY OPERATIONS

  • 1 January 1985
    • journal article
    • research article
    • Vol. 160  (2) , 139-141
Abstract
The incidence of fecal streptococci in bile is between 5 and 15% of all positive culture findings. Fecal streptococci are not susceptible to the aminoglycoside or cephalosporin antibiotics, although these drugs are widely favored for prophylaxis during surgical treatment of the biliary tract. Over a 3 yr period, 64 episodes of bacteremia were identified in patients undergoing treatment for obstructive jaundice. Fifteen (23%) of these episodes were due to fecal streptococci. The implications of this finding are discussed; the role of acylureidopenicillin antibiotics for prophylaxis considered.