Table 4.
Tokyo guidelines (2018) practice in acute cholecystitis
| TG18 guideline | Survey (n = 25) | Snapshot (n = 154) |
|---|---|---|
| Do you (routinely) perform blood cultures in acute cholecystitis? | ||
| No | 19 (76) | 107 (69·5) |
| Yes | 6 (24) | 47 (30·5) |
| Do you (routinely) perform bile cultures during cholecystectomy? | ||
| No | 19 (76) | 119 (77·3) |
| Yes | 6 (24) | 35 (22·7) |
| Which first‐line empirical antibiotics do you routinely prescribe for acute cholecystitis? | ||
| Co‐amoxiclav | 9 (36) | 45 (29·2) |
| Piperacillin–tazobactam | 14 (56) | 63 (40·9) |
| Cephalosporin + metronidazole | 2 (8) | 16 (10·4) |
| Other | 0 (0) | 20 (13·0) |
| No antibiotic | 0 (0) | 10 (6·5) |
| Do you (routinely) perform laparoscopic cholecystectomy on the index admission? | n = 338 | |
| No | 15 (60) | 185 (54·7) |
| Yes | 10 (40) | 153 (45·3) |
Values in parentheses are percentages.