The differences in microbial composition may be an important cause of pancreatic pseudocyst infection-an

Yaoting Li1, Yongzhan Zhao1, Senlin Hou1

  • 1Department of Biliopancreatic Endoscopic Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.

PubMed
Abstract

Insights

Microbial differences in pancreatic pseudocyst fluid impact infection risk. Higher levels of specific bacteria like Klebsiella and Streptococcus were found in infected pseudocysts, suggesting a link to postoperative infections.

Area of Science:

  • Gastroenterology
  • Microbiology
  • Infectious Diseases

Background:

  • Limited research exists on microorganisms in pancreatic pseudocyst infections.
  • Pancreatic pseudocysts are fluid collections that can become infected, leading to complications.

Purpose of the Study:

  • To investigate the microbiological distinctions between infected and non-infected pancreatic pseudocysts.
  • To identify specific microbial signatures associated with pancreatic pseudocyst infections.

Main Methods:

  • An observational cohort study included 37 patients undergoing endoscopic ultrasound (EUS)-guided drainage for pancreatic pseudocysts.
  • Patients were categorized into infected and non-infected groups post-drainage.
  • Cyst fluid underwent microbial sequencing to analyze bacterial composition.

Main Results:

  • Clinical features were similar between infected and non-infected groups.
  • No significant difference in alpha diversity of microbial communities was observed.
  • Beta diversity showed significant differences, with higher relative abundance of Klebsiella, Streptococcus, Collinsella, Phascolarctobacterium, and Megamonas in infected pseudocysts.

Conclusions:

  • Microbial composition of pancreatic pseudocyst fluid may influence postoperative infection development.
  • Elevated levels of specific genera (Klebsiella, Streptococcus, Collinsella, Phascolarctobacterium, Megamonas) are associated with infected pseudocysts.
  • Further research is warranted to confirm these findings and their clinical implications.

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