Isolation and Identification of Bacterial Species from the Human Gallbladders Bile of Sudanese Patients

  • Khalid S Abd-Ulgadir Department of Microbiology, Faculty of Nursing, Omdurman Islamic University
  • Ahmed M Hussein Department of Microbiology, Faculty of Medicine, Omdurman Islamic University
  • Mohamed A M Ibnouf Department of Surgery, Faculty of Medicine, Omdurman Islamic University.
Keywords: Gallbladder Bile, Bacterial isolates, Bile specimens, Cholecystectomy, Bacterial cholecystitis, Acalculus gallbladders

Abstract

Background: Gallbladder infections are one of the most important problems that affect Sudanese patients.

Objectives: To isolate bacterial species from infected human gallbladder's bile in Sudanese patients admitted for cholecystectomy due to calcoulus or acalcoulus cholecystitis.

Materials and Methods: A total of 100 bile specimens from 100 patients (88 females and 12 males), were examined in this study. Bile specimens were collected from three different operating theatres including IbnSena Hospital, Sudan Private Clinic and Omdurman Teaching Hospital.

Results: Six bacterial species were recognized in bile specimens, four of them are gramnegative and two are gram- positive species. In the present study, bacteria were isolated from 40 specimens out of the 100 bile specimens cultured with an overall incidence of 40%. It was noted that all positive bacterial bile cultures correlated with the presence of gallstones except three Salmonellae which were isolated from bile of acalculus gallbladders. The most prevalent bacteria isolated were E.coli which was isolated from 24 specimens out of the 100 bile specimens. On the other hand, Staphylococcus aureus and Pseudomonas spp. were less frequently isolated from bile specimens showing frequencies of 4 (4%) for each.

Conclusion: The finding of this study indicated that Escherichia coli were the most prevalent bacteria which isolated from human bile. As well as, the study revealed that certain bacterial species such as Salmonellae possess characters which allow them to cause cholecystitis without need to gallstones formation.

References

1. Greenberger NJ, and Isselbacher KJ. Diseases of the gallbladder and bile ducts. In: Harrison TR, Editors of Harrison’s Principles of Internal Medicine 18Th ed. International Editions. McGraw-Hill, Inc. New York 1991. Vol. (2): 1358-1365.
2. Harris WH. Biliary system. In: Norton JA, Editor of: Surgery Basic Science and Clinical Evidence. Springer - verily. New York 2001; 567-575.
3. Berman MD, Angelico M, Cary MC. Biliary tract stone and associated diseases. In: Stein JH, Editor of Internal Medicine. 2ed Ed. Little Brown 1987; 254-255.
4. Beeson PB, Mc dermott W. Text Book of Medicine. 14th ed. WB Saunders. Philadelphia 1971; 682-684.
5. Glenn F, Mc sherry CK, Dineen P. Morbidity of surgical treatment for non malignant biliary tract disease. SurgGyneObs 1968; 126:15-26.
6. Alexander WJ. Bacteriology of biliary disease. In: Way way L, Pellegrini C. Editors of Surgery of The Gallbladder and Bile Ducts 1st ed. Philadelphia, Saunders 1987; 93-102.
7. Csendes, A.; Mitru, N.; Maluenda F, et al. Counts of bacteria and pyocites of choledochal bile in controls and in patients with gallstones or common bile duct stones with or without acute cholangitis. Hepa. Gast.Enter. 1996; 43:800-806.
8. Ohdan H, Oshiro H, Yamamoto Y, et al. Bacteriological investigation of bile in patients with cholelithiasis. Surgery Today 1993; 23: 390- 395.
9. Darko R, Archampong, EQ. The microflora of bile in Ghanaians. West African J. of Med. 1994; 13:113-115.
10. Samy AK, Mac Bain G. Association of positive bile cultures with the magnitude of surgery and the patients’ age. J. Roy. Coll. Surg. 1995; 40:188-191.
11. Al Harbi M, Osoba AO, Mowallad A, Al-Ahmadi K. Tract microflora in Saudi patients with cholelithiasis. Trop. Med. and Inter Health 2001; 6:570-574.
12. Koneman EW, Allen SD, Janda WM. Colour Atlas and Textbook of Diagnostic Microbiology 4th ed. Lipincott Company Philadelphia 1992; 913-925.
13. Barrow GI, Feltham RKA. Cowan and Steel’s: Manual for the Identification of medical bacteria 3rd ed. Cambridge University Press. London1993; 51-117.
14.IbnOufMA,Salama AA, Fadiel SS. Laparoscopic cholecystectomy a localexperience in Sudan. Saudi. J. Gastr.entero 2001; 7:22-25.
15. Keighly MRB, Flinn R, Alexander-Williams J. Multivariate analysis of clinical and operative findings associated with biliary sepsis. Bri. J. of Surg. 1976; 63:528-531.
16. Al-Jawadi AA, Al-Khayatt M, Al-Zubeer HK. Laparoscopic and open cholecystectomy: Risk estimates, predictors of conversion and complications. J. Bahrain. Med. Soci. 2002; 14:72-78.
17. Petakovic G, Korica M, Gavilovic S. Bacteriologic Examination of Gallbladder Contents. Med Pregl 2002; 55:225-228.
18.Chang WT, Lee KT, Wang SR, et al. Bacteriology and antimicrobial susceptibility in biliary tract diseases. Kaohsiung J Med Sci 2002; 18:221-228.
19. Roa I, Ibacache G, Carvallo J, et al. Microbiological study of gallbladder bile in a high risk zone gallbladder cancer. Rev. Med. chil. 1999; 127:1049-1055.
20. Lo WT, Wang CC, Chu MI. Acute septicaemic a calculous cholecystitis complicated by empyema caused by Salmonella group D in a previously health child. Dig Dis Sci. 2002; 16:1226-1232. 21. Thomas CG. Medical Microbiology 6th ed. BrailliereTrandall London 1988; 279.
22. Anathanar AR, Jayarmpaniker CK. TextBook of Microbiology. Philadelphia 4th ed. 1990; 180-185.
23. Omer EE. Review of Medical Bacteriology 1st ed. Almarwahprinting.Makkah Al-Mukarrrmah 1990; 237.
24. GwendolynRW. Microbiology for the Health Sciences. J. P. Lippincott. Philadelphia. 4th ed. 1992; 329.
25. Ganong WF. Review of Medical Physiology. Appleton & Lange. Norwalk. 17Th ed. 1995; 458-462.
26. Sianesi M, Berri T. Bacteriological studies on the bile in different conditions of surgical interest.chirurigiaItaliana 1976; 28(4): 341-355.
27.Nielsen ML, Justesen T. Anaerobic and aerobic bacteriological studies in biliary tract disease. Scan J Gastr 1976; 11:437-446.
Published
2021-08-19
Section
Original Articles