- 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:
- 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
Smith, Scott M, and Christopher F Carpenter. "Cholecystitis." Johns Hopkins ABX Guide, The Johns Hopkins University, 2022. Johns Hopkins Guides, www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540122/all/Cholecystitis.
Smith SM, Carpenter CF. Cholecystitis. Johns Hopkins ABX Guide. The Johns Hopkins University; 2022. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540122/all/Cholecystitis. Accessed June 1, 2023.
Smith, S. M., & Carpenter, C. F. (2022). Cholecystitis. In Johns Hopkins ABX Guide. The Johns Hopkins University. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540122/all/Cholecystitis
Smith SM, Carpenter CF. Cholecystitis [Internet]. In: Johns Hopkins ABX Guide. The Johns Hopkins University; 2022. [cited 2023 June 01]. Available from: https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540122/all/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://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540122/all/Cholecystitis PB - The Johns Hopkins University DB - Johns Hopkins Guides DP - Unbound Medicine ER -