Positive Peritoneal fluid fungal cultures in postoperative peritonitis after bariatric surgery.
Clin Microbiol Infect. 2015 May 29;
Authors: Zappella N, Desmard M, Chochillon C, Ribeiro-Parenti L, Houze S, Marmuse JP, Montravers P
Postoperative peritonitis (POP) is a common surgical complication following bariatric surgery (BS). We assessed the importance of positive fungal cultures in these cases of POP admitted to the intensive care unit (ICU). Clinical features and outcome were compared in 25 (41%) candida-positive patients (6 (22%) fluconazole-resistant Candida glabrata) and 36 patients without candida. Candidas were more commonly isolated in late-onset peritonitis and were often associated with multidrug-resistant bacteria. Risk factors for ICU mortality (19.6%) were diabetes and super obesity. Candidas, including fluconazole-resistant strains, are common in POP following BSThese data encourage the empirical use of a broad-spectrum antifungal agent.
PMID: 26033667 [PubMed - as supplied by publisher]