Bacterial culture and antibiotic susceptibility in patients with acute appendicitis View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-02-27

AUTHORS

Dae Woon Song, Byung Kwan Park, Suk Won Suh, Seung Eun Lee, Jong Won Kim, Joong-Min Park, Hye Ryoun Kim, Mi-Kyung Lee, Yoo Shin Choi, Beom Gyu Kim, Yong Gum Park

ABSTRACT

PurposeEssential treatment of acute appendicitis is surgical resection with the use of appropriate antibiotics. In order to effectively treat acute appendicitis, it is important to identify the microorganism of acute appendicitis and evaluate the effective antibiotics.MethodsA total of 694 patients who underwent appendectomy for acute appendicitis and had positive microbial result between 2006 and 2015 were recruited. For microbial assessment, luminal contents of the appendix were swabbed after appendectomy. In patients with periappendiceal abscess, the specimens were obtained from abscess fluid. The patient characteristics, operative data, use of antibiotics, the results of microbiology, and postoperative morbidities including surgical site infection (SSI) were retrospectively reviewed.ResultsThe mean age was 38.2 (± 19.8) years, and 422 patients (60.8%) were male. Most of the operations were performed by conventional laparoscopy (83.1%), followed by single-port laparoscopy (11.8%). The most common microorganism was Escherichia coli (64.6%), which was susceptible to amoxicillin/clavulanate, ciprofloxacin, most cephalosporins, piperacillin/tazobactam, and imipenem. The second most common microorganism was Pseudomonas aeruginosa (16.4%), which was resistant to amoxicillin/clavulanate and cefotaxime. The rate of postoperative morbidity was 8.6%, and the most common type was superficial SSI (6.2%), followed by ileus (1.2%), gastroenteritis (0.7%), and organ/space SSI (0.3%). P. aeruginosa (odds ratio = 2.128, 95% confidence interval 1.077–4.206, P = 0.030) was the only significant microorganism associated with SSI according to multivariate analysis adjusting for other clinical factors.ConclusionsIn perforated appendicitis, the use of empirical antibiotics seems to be safe. In some cases of Pseudomonas infection, adequate antibiotics should be considered. More... »

PAGES

441-447

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00384-018-2992-z

DOI

http://dx.doi.org/10.1007/s00384-018-2992-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1101238068

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29488087


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44 appendectomy
45 appendicitis
46 appendix
47 appropriate antibiotics
48 assessment
49 bacterial culture
50 cases
51 cefotaxime
52 cephalosporins
53 characteristics
54 ciprofloxacin
55 clavulanate
56 clinical factors
57 coli
58 common microorganisms
59 common type
60 content
61 conventional laparoscopy
62 culture
63 data
64 effective antibiotics
65 empirical antibiotics
66 factors
67 fluid
68 gastroenteritis
69 ileus
70 imipenem
71 infection
72 laparoscopy
73 luminal contents
74 mean age
75 microbial assessment
76 microbial results
77 microbiology
78 microorganisms
79 morbidity
80 most cephalosporins
81 multivariate analysis
82 only significant microorganism
83 operation
84 operative data
85 order
86 organ/space surgical site infection
87 patient characteristics
88 patients
89 periappendiceal
90 piperacillin/tazobactam
91 positive microbial results
92 postoperative morbidity
93 rate
94 resection
95 results
96 results of microbiology
97 significant microorganisms
98 single-port laparoscopy
99 site infection
100 space surgical site infection
101 specimens
102 superficial surgical site infection
103 surgical resection
104 surgical site infection
105 susceptibility
106 tazobactam
107 total
108 treatment
109 types
110 use
111 use of antibiotics
112 years
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