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Clinical impact of body mass index on bactibilia and bacteremia

BACKGROUND: The aim of this study was to evaluate the association between obesity and infected bile or bacteremia in patients with acute calculous cholecystitis. METHODS: Authors analyzed the medical records of 139 patients who had undergone cholecystectomy for the treatment of acute calculous chole...

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Autores principales: Bang, Chang Seok, Yoon, Jai Hoon, Kim, Youn Jeong, Kim, Jin Bong, Baik, Gwang Ho, Suk, Ki Tae, Kim, Yeon Soo, Kim, Dong Joon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4073193/
https://www.ncbi.nlm.nih.gov/pubmed/24902609
http://dx.doi.org/10.1186/1471-230X-14-104
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author Bang, Chang Seok
Yoon, Jai Hoon
Kim, Youn Jeong
Kim, Jin Bong
Baik, Gwang Ho
Suk, Ki Tae
Kim, Yeon Soo
Kim, Dong Joon
author_facet Bang, Chang Seok
Yoon, Jai Hoon
Kim, Youn Jeong
Kim, Jin Bong
Baik, Gwang Ho
Suk, Ki Tae
Kim, Yeon Soo
Kim, Dong Joon
author_sort Bang, Chang Seok
collection PubMed
description BACKGROUND: The aim of this study was to evaluate the association between obesity and infected bile or bacteremia in patients with acute calculous cholecystitis. METHODS: Authors analyzed the medical records of 139 patients who had undergone cholecystectomy for the treatment of acute calculous cholecystitis from January 2007 to June 2013 in a single teaching hospital. Association of body mass index (BMI) with bactibilia and bacteremia was assessed using univariate and multivariate analysis. Clinical findings and biliary infection related data were recorded for the following variables: gender, age, alcohol and smoking history, the results of blood and bile cultures, cholesterolosis, diabetes, hypertension, and duration of the hospital stay. RESULTS: The microbial culture rate of bactibilia and bacteremia were 50.4% and 21.6%, respectively. In the univariate analysis, bacteremia was associated with bactibilia (OR: 4.33, p = 0.002). In the multivariate analysis for the risk factors of bactibilia, BMI and bacteremia were related with bactibilia (OR: 0.59, 95% CI: 0.42-0.84, p = 0.003) (OR: 3.32, 95% CI: 1.22-9, p = 0.02). In the multivariate analysis for the risk factors of bacteremia, BMI, bactibilia and age were related with bacteremia (OR: 0.76, 95% CI: 0.59-0.99, p = 0.04) (OR: 3.46, 95% CI: 1.27-9.45, p = 0.02) (OR: 1.05, 95% CI: 1.01-1.09, p = 0.02). CONCLUSION: In this retrospective study, BMI was inversely correlated with bacteremia or bactibilia, which means obese or overweight patients are less likely to be associated with bacteremia or bactibilia in patients with acute calculous cholecystitis.
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spelling pubmed-40731932014-06-28 Clinical impact of body mass index on bactibilia and bacteremia Bang, Chang Seok Yoon, Jai Hoon Kim, Youn Jeong Kim, Jin Bong Baik, Gwang Ho Suk, Ki Tae Kim, Yeon Soo Kim, Dong Joon BMC Gastroenterol Research Article BACKGROUND: The aim of this study was to evaluate the association between obesity and infected bile or bacteremia in patients with acute calculous cholecystitis. METHODS: Authors analyzed the medical records of 139 patients who had undergone cholecystectomy for the treatment of acute calculous cholecystitis from January 2007 to June 2013 in a single teaching hospital. Association of body mass index (BMI) with bactibilia and bacteremia was assessed using univariate and multivariate analysis. Clinical findings and biliary infection related data were recorded for the following variables: gender, age, alcohol and smoking history, the results of blood and bile cultures, cholesterolosis, diabetes, hypertension, and duration of the hospital stay. RESULTS: The microbial culture rate of bactibilia and bacteremia were 50.4% and 21.6%, respectively. In the univariate analysis, bacteremia was associated with bactibilia (OR: 4.33, p = 0.002). In the multivariate analysis for the risk factors of bactibilia, BMI and bacteremia were related with bactibilia (OR: 0.59, 95% CI: 0.42-0.84, p = 0.003) (OR: 3.32, 95% CI: 1.22-9, p = 0.02). In the multivariate analysis for the risk factors of bacteremia, BMI, bactibilia and age were related with bacteremia (OR: 0.76, 95% CI: 0.59-0.99, p = 0.04) (OR: 3.46, 95% CI: 1.27-9.45, p = 0.02) (OR: 1.05, 95% CI: 1.01-1.09, p = 0.02). CONCLUSION: In this retrospective study, BMI was inversely correlated with bacteremia or bactibilia, which means obese or overweight patients are less likely to be associated with bacteremia or bactibilia in patients with acute calculous cholecystitis. BioMed Central 2014-06-05 /pmc/articles/PMC4073193/ /pubmed/24902609 http://dx.doi.org/10.1186/1471-230X-14-104 Text en Copyright © 2014 Bang et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Bang, Chang Seok
Yoon, Jai Hoon
Kim, Youn Jeong
Kim, Jin Bong
Baik, Gwang Ho
Suk, Ki Tae
Kim, Yeon Soo
Kim, Dong Joon
Clinical impact of body mass index on bactibilia and bacteremia
title Clinical impact of body mass index on bactibilia and bacteremia
title_full Clinical impact of body mass index on bactibilia and bacteremia
title_fullStr Clinical impact of body mass index on bactibilia and bacteremia
title_full_unstemmed Clinical impact of body mass index on bactibilia and bacteremia
title_short Clinical impact of body mass index on bactibilia and bacteremia
title_sort clinical impact of body mass index on bactibilia and bacteremia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4073193/
https://www.ncbi.nlm.nih.gov/pubmed/24902609
http://dx.doi.org/10.1186/1471-230X-14-104
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