J Korean Surg Soc.
1998 Aug;55(2):235-241.
Bacteriologic Study and Prophylactic Antibiotics in the Acute and Complicated Appendicitis
- Affiliations
-
- 1Department of Surgery, College of Medicine, Dankook University.
Abstract
- This prospective study was performed to determine the effective antibiotics for use in treating acute appendicitis patients during the perioperative period. To identify the sensitive antibiotics, the peritoneal fluid was cultured during operation. Also, wound infection was defined as pus or serous discharge in the wound or when we opened the wound under suspicious of a wound problem. The results were obtained as follows: 1) A total of 138 cases treated during the two years from January 1995 to December 1996 were examined; 84 of them (60.87%) were found to have positive peritoneal fluid cultures, of which 29 (34.52%) were monomicrobial and 55 (65.48%) were polymicrobial. 2) The most common species were Escherichia coli (73.81%), Bacteroides (32.14%), Klebsiella (16.67%), Pseudomonas (9.52%), and Streptococcus (9.52%). 3) In the sensitivity test, the most sensitive drugs were aminoglycosides and cefotaxime. 4) Infectious complications, which developed in 27 (19.6%) patients, were wound infection and intraabdominal abscess. 5) The average length of stay for all patients 9.9 days (range: 3 to 32 days). 6) The common organisms curtured from the complication cases were E. coli and Bacteroides.
Keyword
MeSH Terms
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Prophylactic antibiotics administration in acute appendicitis
- The Efficacy of Adding Postoperative Oral Antibiotics after Parenteral Antibiotic Therapy in Acute Appendicitis
- Pediatric Appendicitis: Factors Affecting Postappendectomy Morbidity
- Retroperitoneal Abscess in a Patient with Acute Appendicitis
- Bacteriologic Study and Antibiotics Sensitivity of Acute Appendicitis Treated with Laparoscopic Appendectomy
