Zardad Khan, AmjadMahmood, SajidRazzaq, ArifMahmood, Nisar Ahmed, WaheedIqbal
Aim: To assess
the amendments in surgeons’ practice of antibiotics used in the patients with
cholecystitis secondary to gall stones according to severity of disease.
the approval of hospital ethical committee of the hospital. This descriptive
study was done at Divisional Head Quarter Teaching Hospital, Mirpur Azad
Kashmir. It was consisted on 300 hundred patients who presented in 2017 &
2019 and fulfill the inclusion criteria with gall stones. Written informed
consent taken from every patients. The major variables included patients’ demographics
data, antibiotics used for surgical results.
this study 300 patients were included. The mean age of patients was 48.8±13.2 years.
There were 154(51%) female and 146 (49%) patients were male. The mean age was
49.8±13.2 years. The severe cholecystitis patients received (> grade II),
12(41.4%) had ASA level of >2, compared to 12(8.5%) and 41(22.2%) of
patients in mild and moderate acute cholecystitis respectively.
Conclusion: It is
concluded that Tokyo Guidelines not only greatly influenced but also standardized
the choice of antibiotics in patients without compromising the infective and
Keywords: Acute cholecystitis, Antibiotics, Gall