Cholecystitis
PATHOGENS
- Usually, inflammatory and noninfectious
- If infectious, frequently polymicrobial. Leading pathogens:
- Gram Negatives:
- Enterobacterales: E. coli, Klebsiella species, Enterobacter species
- Pseudomonas species are more common in hospital-acquired infections but also associated with community-acquired cholecystitis
- Gram Positives:
- Anaerobes:
- Clostridium and Bacteroides species
- Gram Negatives:
- The pathogenic role of enterococci and anaerobes is not well defined, and empirical coverage is not usually required.
- Organisms cultured from bile/gallbladder: unclear pathogenicity unless also recovered in blood
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Last updated: November 9, 2022
Citation
Smith, Scott M, and Christopher F Carpenter. "Cholecystitis." Johns Hopkins ABX Guide, The Johns Hopkins University, 2022. Pediatrics Central, peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540122/0/Cholecystitis.
Smith SM, Carpenter CF. Cholecystitis. Johns Hopkins ABX Guide. The Johns Hopkins University; 2022. https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540122/0/Cholecystitis. Accessed December 5, 2024.
Smith, S. M., & Carpenter, C. F. (2022). Cholecystitis. In Johns Hopkins ABX Guide. The Johns Hopkins University. https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540122/0/Cholecystitis
Smith SM, Carpenter CF. Cholecystitis [Internet]. In: Johns Hopkins ABX Guide. The Johns Hopkins University; 2022. [cited 2024 December 05]. Available from: https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540122/0/Cholecystitis.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Cholecystitis
ID - 540122
A1 - Smith,Scott,M.D.
AU - Carpenter,Christopher,M.D.
Y1 - 2022/11/09/
BT - Johns Hopkins ABX Guide
UR - https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540122/0/Cholecystitis
PB - The Johns Hopkins University
DB - Pediatrics Central
DP - Unbound Medicine
ER -